Medication errors in psychiatric patients boarded in the emergency department.
Int J Risk Saf Med
; 26(4): 191-8, 2014.
Article
em En
| MEDLINE
| ID: mdl-25420761
ABSTRACT
BACKGROUND:
Patients boarded in the emergency department (ED) with psychiatric complaints may be at risk for medication errors. However, no studies exist to characterize the types of errors and risk factors for errors in these patients.OBJECTIVE:
To characterize medication errors in psychiatric patients boarded in ED, and to identify risk factors associated with these errors.METHODS:
A prospective observational study conducted in a community ED included all patients seen in the ED for primary psychiatric complaints and remained in the ED pending transfer to a psychiatric facility. An investigator recorded all medication errors requiring an intervention by an emergency pharmacist.RESULTS:
A total of 288 medication errors in 100 patients were observed. Overall, 65 patients had one or more medication errors. The majority of errors (n = 256, 89%) were due to errors of omission. The final severity classification of the medication errors was Insignificant (n = 77), significant (n = 152), and serious (n = 3). In the multivariate analysis (R-squared 19.6%), increasing number of home medications (OR 1.17, 95% CI 1.01 to 1.36; p = 0.035), and increasing number of comorbidities (OR 1.89, 95% CI 1.10 to 3.27; p = 0.022) were associated with the occurrence of medication errors.CONCLUSION:
Psychiatric patients boarded in the ED commonly have medication errors that require intervention.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Pessoas Mentalmente Doentes
/
Serviço Hospitalar de Emergência
/
Erros de Medicação
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
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Male
Idioma:
En
Revista:
Int J Risk Saf Med
Ano de publicação:
2014
Tipo de documento:
Article