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Related Experiment Videos

What do we know about medication errors in inpatient psychiatry?

Benjamin C Grasso1, Jeffrey M Rothschild, Robert Genest

  • 1Institute for Self-Directed Care, Portland, Maine, USA. bgrasso1@maine.rr.com

Joint Commission Journal on Quality and Safety
|September 5, 2003
PubMed
Summary

Adverse drug events (ADEs) in psychiatry are a significant cause of harm. Improving patient safety requires better understanding and reporting of medication errors, with a focus on systems-based approaches.

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Area of Science:

  • Psychiatry
  • Patient Safety
  • Pharmacology

Background:

  • Adverse drug events (ADEs) contribute significantly to patient morbidity and mortality.
  • Psychiatrists have historically focused on adverse drug reactions (ADRs) within psychopharmacology.
  • This review examines ADEs within a broader patient safety framework.

Purpose of the Study:

  • To review the literature on adverse drug events (ADEs) and medication errors in psychiatry.
  • To identify gaps in knowledge and suggest strategies for improvement.

Main Methods:

  • Literature search of MEDLINE and bibliographies for English-language studies from 1996-2003.
  • Focus on ADEs and medication errors in psychiatric settings.

Main Results:

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  • Limited data exists on the incidence and characteristics of medication errors in psychiatric hospitals.
  • Psychiatrists may underestimate the harm from errors and face challenges in error detection and reporting.
  • A systems-oriented approach and nonpunitive reporting culture are crucial for ADE reduction.

Conclusions:

  • Psychiatry needs to adopt standardized terminology for medication errors and ADEs.
  • Further research is essential to understand the frequency and impact of medication errors in psychiatric care.