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Related Experiment Videos

PRN medication for psychiatric inpatients.

J L Craven, P M Voore, G Voineskos

    Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
    |April 1, 1987
    PubMed
    Summary

    PRN psychotropic medication use is high in psychiatric units, with many prescriptions unused or lacking clear instructions. Personality disorder diagnoses were linked to frequent PRN psychotropic drug use.

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    Area of Science:

    • Psychiatry
    • Clinical Pharmacy

    Background:

    • Limited understanding of PRN psychotropic medication use in psychiatric inpatient settings.
    • PRN (as needed) psychotropic drugs are frequently prescribed in hospitals.

    Purpose of the Study:

    • To investigate the extent and patterns of PRN psychotropic medication prescription and administration.
    • To identify factors associated with PRN psychotropic drug use in psychiatric inpatients.

    Main Methods:

    • Survey of PRN prescription and administration practices in a psychiatric teaching hospital.
    • Analysis of prescription data, including administration rates and physician discontinuation.

    Main Results:

    • A significant number of psychiatric inpatients received PRN psychotropic medications.
    • 50% of PRN prescriptions were never administered; only 25% were actively discontinued.
    • Personality disorder diagnosis was associated with higher PRN prescription and administration rates.
    • Many PRN prescriptions lacked clear instructions regarding indications, dosage spacing, or maximum daily limits.

    Conclusions:

    • Hospitals should monitor PRN psychotropic medication use and investigate prescribing patterns.
    • PRN psychotropic drug use should be reserved for emergencies.
    • Clear and detailed instructions are essential for PRN psychotropic prescriptions.

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