What Do We Know About Medication Errors in Inpatient Psychiatry?
The Joint Commission Journal on Quality and SafetyPublished 1 August 2003
Benjamin C. Grasso, Jeffrey M. Rothschild, Robert Genest, David W. Bates
Citations57
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TL;DR
Psychiatrists would benefit from learning about the terminology used in describing medication errors and ADEs, and clinical and pharmacy staff could monitor the literature for published reports of preventable adverse events and review those reports in multidisciplinary team meetings.
Abstract
Psychiatry would benefit from learning about the terminology used in describing medication errors and ADEs. Relatively few data are available regarding the frequency and consequences of medication errors in psychiatry; more research is needed.
Keywords
MedicineHealth Professions
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48 Citations2002Elizabeth A. Chrischilles, Thomas R. Fulda +4 more
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Reliable data obtained by drug monitoring systems can be expected to aid in therapeutic decisions in patients with special risks of side effects to psychotropic drugs.
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It was concluded that a combination of several initiatives to decrease system and human errors has resulted in more than a 50% reduction of medication errors reaching the pediatric patient.
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Quality of as-required medication prescribing was inferior to the prescription of regular medication, particularly for dementia patients and prescribing for patients with dementia carried significantly more errors in notation of dose than prescribing for Patients with functional illness.
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There is widespread concern about the level of use, particularly the inappropriate use, of drugs among elderly residents of nursing homes, and the development of adverse drug events (ADEs) can compromise the expected benefits of pharmacotherapy for the individual nursing-home resident.
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Baylor Health Care System addressed multiple systems and processes of technology, education, communication, learning, feedback, rewards, and recognition to demonstrate significant improvements in cost reduction, employee satisfaction, and the number of errors reported.
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25 Citations1980Ronald B. Stewart, P K Springer +1 more
The authors prospectively monitored 60 consecutive admissions to an inpatient psychiatry service to determine the role of drugs in psychiatric hospitalization and categorized drug-related problems as drug intoxication, drug abuse, side effects of therapeutic drugs, and noncompliance with prescribed medications.
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