Medication errors in older people with mental health problems: a review

Maidment, Ian; Haw, Camilla; Stubbs, Jean; Fox, Chris; Franklin, Bryony Dean

doi:10.1002/gps.1943

Cited by 38 publications

(36 citation statements)

References 36 publications

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“…This uncertainty is accompanied by vulnerability, partly because service users are often isolated, cognitively impaired and therefore not able to, or allowed to, make informed choices. Individual vulnerability and uncertainty may be reinforced by treatment contexts-poor communication and unclear lines of responsibility-which further threaten patient safety [19] and inhibit a trusting relationship from developing.…”

Section: Discussionmentioning

confidence: 98%

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An exploratory study of the role of trust in medication management within mental health services

2011

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Section: Discussionmentioning

confidence: 98%

“…Cognition could be impaired, by mental illness and medication, making it very difficult for service users to express a view [19]. Even when service users did express their viewpoint, they felt that due to the stigma of mental illness clinicians would often not listen:…”

Section: Uncertainty and Vulnerabilitymentioning

confidence: 95%

An exploratory study of the role of trust in medication management within mental health services

2011

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“…[86][87][88][89] Despite this reality, there is a significant paucity in the literature on medication errors that specifically focus on the geriatric psychiatry population. In a recent systematic review, Maidment et al, [8] were only able to identify eight articles that contained at least some data on psychiatric patients over the age of 65 years. Of these, only two studies were specifically designed with the objective of studying medication errors in the geriatric population.…”

Section: Geriatric Psychiatrymentioning

confidence: 99%

“…Our search strategy was unique and differs from previous reviews on the topic [7,8] in that we searched both peer and non-peer-reviewed sources. To provide an overview of significant literature on medication errors in psychiatry and identify current trends and gaps we first conducted searches in four electronic databases: MEDLINE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE and PsychINFO.…”

Section: Search Strategymentioning

confidence: 99%

Medication Errors in Psychiatry

et al. 2010

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Medication errors are among the most common medical errors and cause significant morbidity and in some cases mortality. The objective of this article is to review the literature on medication errors in psychiatry. We completed a comprehensive search of both peer- and non-peer-reviewed articles that investigated medication errors in psychiatry. Our primary focus was to examine patient-, provider- and system-related factors that contributed to medication errors. Due to differences in research design and denominators used to determine error rates, the reported prevalence rates of medication errors in psychiatry vary widely. Patient-related factors identified as contributing to medication errors included non-adherence to medication, failure of patients to inform their various care providers about the medications they are taking and symptoms of psychiatric illnesses. Provider-related factors identified as contributing to medication errors were also identified and included clinical practices associated with prescribing, transcription, dispensing, administration and monitoring. Finally, the healthcare system also has a major role to play in reducing medication errors by ensuring seamless continuity of care, mandating medication reconciliation programmes, ensuring adequate clinical pharmacy services and supporting a nonpunitive medication error reporting system. Although the literature raises awareness of these specific contributing factors, there is still a great need for more systematic evaluations of the problem including root cause analysis. Medication errors in psychiatry have been studied almost exclusively in the inpatient setting and thus little is known about the incidence and significance in outpatient and community settings.

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“…Once identified, the cause of the error should be established so that changes can be made in practice [5]. With preventative strategies in place, error rates may be reduced [6].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Implementation of a New Drug Storage Label and Error-Reducing Process on the Accuracy of Drug Dispensing

et al. 2010

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This study evaluated the effectiveness of implementation of an improved storage label and an error-reducing process on the incidence of drug-dispensing errors. A total of 27 pharmacists (11 male and 16 female) were included. Questionnaires were distributed to pharmacists to measure their degree of satisfaction with the format and content of the labels. The questionnaires were completed before and one month after implementation of new label. Pharmacists were also requested to follow a new error-reducing dispensing process by circling the following items on the new storage label: drug name, appearance, packaging, dose, and formulation. The pharmacists' degrees of satisfaction increased significantly after implementation of the new label with respect to these questionnaire items: all label format items, edition appropriateness, use of capital fonts to distinguish similar drug names, reminder images to help with drug differentiation, and complete label information. The outpatient monthly drug-dispensing error rate was significantly decreased.

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Medication errors in older people with mental health problems: a review

Abstract: Due to methodology issues it was impossible to calculate overall error rates. Future research should concentrate on serious errors within community settings, and clarify potential risk factors.

Cited by 38 publications

References 36 publications

An exploratory study of the role of trust in medication management within mental health services

An exploratory study of the role of trust in medication management within mental health services

Medication Errors in Psychiatry

Effectiveness of Implementation of a New Drug Storage Label and Error-Reducing Process on the Accuracy of Drug Dispensing

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