Document Type



Doctor of Nursing Practice



Date of Defense


Graduate Advisor

Alicia Hutchings PhD, RN, CNE, chair


Alicia Hutchings PhD, RN, CNE, chair

Susan Dean-Baar PhD, RN, CENP, FAAN

Deborah Patton, PMHNP-BC



Problem: Tardive dyskinesia is a common problem that creates challenges in the lives of those affected by it. The Abnormal Involuntary Movement Scale records the occurrence of tardive dyskinesia in patients receiving neuroleptic medication. With this scale, clinicians can detect tardive dyskinesia and its severity over time. The aim of this study is to learn the current rate of adherence for clinicians at the organization and to create and implement an intervention that will increase that rate in an effort to improve patient outcomes and quality of life.

Methods: This quality improvement project will use a descriptive cohort design. A retrospective and prospective medical record review will be used to determine pre-post education effectiveness for AIMS screening.

Results: Of the 53 charts reviewed pre implementation, 62% had an AIMS screening, whereas post implementation 72% has an AIMS screening showing a 10% increase. Of those screened pre implementation, 6% had a positive AIMS scores compared to the 0% recorded post implementation.

Discussion: The increase in AIMS screenings helped to identify early symptoms of Tardive Dyskinesia and enabled early treatment, especially for those who were at an increased risk including older African American men prescribed first generation antipsychotics. This project identified a need to increase the number of providers trained on AIMS screening in an effort to increase the adherence rates facility wide.