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Early Psychosis Order Set

The first time a person experiences psychosis can be a challenging, frightening time. The care they receive during this episode can set the stage for all future engagements with the mental health care system. Until recently, however, there was no specific Clinical Order Set (COS) to guide the care of First Episode Psychosis in Victoria. Psychiatrist Dr. Dan Boston drew on support from the Physician Quality Improvement initiative and the South Island Medical Staff Association to develop an evidence-based Clinical Order Set and assess its impact on the health status of patients as well as reduce their length of stay in hospital.

Dr. Boston coordinated a series of meetings to develop the COS, drawing on insights and expertise from physicians, managers, nurses, occupational therapists, and administration. They worked to ensure the COS was well-tailored to the clinical realities of these patients; details included specifying which health indicators would be collected at baseline, determining which medications would go on the order set, and how to address the needs of specific patients, such as those diagnosed with schizophrenia or bipolar spectrum disorders, or substance-induced psychosis. 

Read more about Dr. Boston's work on the South Island Medical Staff Engagement website


The South Island Medical Staff Association is pleased to share their recent physician engagement success stories. With Facility Engagement Initiative funding, the South Island MSA has supported physician-led engagement and quality improvement work at Royal Jubilee Hospital, Victoria General Hospital and beyond. While much of the work is ongoing, they are sharing success stories on their website. Projects are wide-ranging and include physicians throughout several departments.