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[Discrepancies in reported medication use in elderly psychiatric outpatients]
Tijdschrift Voor Psychiatrie
|September 15, 2018
Summary
Medication discrepancies are common in elderly psychiatric outpatients, with 80% of patients showing differences between reported and recorded medication use. Living alone increased discrepancies, while cognitive impairment reduced them.
Area of Science:
- Geriatric Psychiatry
- Pharmacovigilance
- Patient Safety
Background:
- Discrepancies between patient-reported medication use and medical records are common across medical fields and have clinical implications.
- Existing research on medication discrepancies in psychiatry is limited, with only two prior studies identified.
- This study addresses the gap by focusing on medication discrepancies within a specific psychiatric population.
Purpose of the Study:
- To determine the frequency of medication discrepancies in elderly psychiatric outpatients.
- To explore factors associated with these discrepancies in the studied population.
Main Methods:
- A comparative analysis of 40 medication records from psychiatric elderly outpatients against their general practitioner and pharmacy records.
- Collection of data on patients' social situation, cognitive status (Mini-Mental State Examination score), and diagnoses.
Main Results:
- A high prevalence of medication discrepancies was found, with 80% of patients exhibiting one or more discrepancies.
- Patients living alone demonstrated a higher incidence of medication discrepancies.
- Conversely, patients with cognitive impairments or lower Mini-Mental State Examination scores showed fewer discrepancies.
Conclusions:
- Medication discrepancies are a significant issue in elderly psychiatric outpatient settings.
- The findings highlight the need for improved medication reconciliation processes in this vulnerable population.
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