A centralized system for monitoring clozapine use in British Columbia

Psychiatr Serv. 1996 Jan;47(1):81-3. doi: 10.1176/ps.47.1.81.

Abstract

The Clozapine Resource Centre in British Columbia is a centralized information source for all physicians wishing to prescribe clozapine and also performs back-up hematological and compliance monitoring. Laboratories fax weekly hematology results to physicians and to the center. The center enters results in a national database and compiles twice-weekly noncompliance reports; physicians are notified of abnormal results, and caregivers of noncompliance. The centralized system obviates the practice in some jurisdictions of hiring case coordinators to oversee these procedures and may reduce physician reluctance to prescribe clozapine. It improves coordination among monitoring and treatment parties and ensures better continuity of care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adverse Drug Reaction Reporting Systems*
  • Agranulocytosis / chemically induced
  • Agranulocytosis / prevention & control
  • Antipsychotic Agents / adverse effects*
  • Antipsychotic Agents / therapeutic use
  • British Columbia
  • Clozapine / adverse effects*
  • Clozapine / therapeutic use
  • Continuity of Patient Care
  • Database Management Systems
  • Drug Monitoring
  • Humans
  • Patient Care Team
  • Schizophrenia / drug therapy*
  • Schizophrenic Psychology*

Substances

  • Antipsychotic Agents
  • Clozapine