Medications Related Emergency Admissions: Causes and Recommendations

被引:4
作者
Aldardeer, Namareq [1 ]
Benslimane, Nabila [1 ]
Khalifa, Mohamed [2 ]
机构
[1] King Faisal Specialist Hosp & Res Ctr, Jeddah, Saudi Arabia
[2] Macquarie Univ, Fac Med & Hlth Sci, Australian Inst Hlth Innovat, Ctr Hlth Informat, Sydney, NSW, Australia
来源
INFORMATICS EMPOWERS HEALTHCARE TRANSFORMATION | 2017年 / 238卷
关键词
Adverse Drug Events; Emergency Visits; Admissions; Hospitals; ADVERSE DRUG-REACTIONS; EVENTS;
D O I
10.3233/978-1-61499-781-8-169
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Adverse drug events could require a patient to visit the emergency department, many of these visits lead to hospital admissions. A retrospective study, October 2015 to March 2016, examined the severity and factors contributing to medications related emergency visits leading to admissions at King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. Out of 698 reviewed patients, 92 were medications related admissions. Adverse drug reactions were the primary cause (46.7%), drug prescribing (30.4%), compliance (14.1%), and drug dosing (8.7%). The majority of cases were of moderate severity (82.6%). Most medications involved in emergency admissions were antihypertensive (18.4%), chemotherapy (17.4%), anticoagulant (15.2%), and anti-diabetics (12%). Emergency admissions secondary to medication could be minimized whenever the causes of problems are identified. Motivating physicians to apply shared decision making strategy during prescribing and involving pharmacists in emergency and ambulatory care setting is highly important and to educate patients and support healthcare providers in making best medications related decisions.
引用
收藏
页码:169 / 172
页数:4
相关论文
共 13 条
[1]  
Agency for Healthcare Research and Quality, 2001, RES IN ACTION, P1
[2]   INCIDENCE OF ADVERSE DRUG EVENTS AND POTENTIAL ADVERSE DRUG EVENTS - IMPLICATIONS FOR PREVENTION [J].
BATES, DW ;
CULLEN, DJ ;
LAIRD, N ;
PETERSEN, LA ;
SMALL, SD ;
SERVI, D ;
LAFFEL, G ;
SWEITZER, BJ ;
SHEA, BF ;
HALLISEY, R ;
VANDERVLIET, M ;
NEMESKAL, R ;
LEAPE, LL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 274 (01) :29-34
[3]   Medication use leading to emergency department visits for adverse drug events in older adults [J].
Budnitz, Daniel S. ;
Shehab, Nadine ;
Kegler, Scott R. ;
Richards, Chesley L. .
ANNALS OF INTERNAL MEDICINE, 2007, 147 (11) :755-U26
[4]   Adverse drug reactions: definitions, diagnosis, and management [J].
Edwards, IR ;
Aronson, JK .
LANCET, 2000, 356 (9237) :1255-1259
[5]   Investigation into the reasons for preventable drug related admissions to a medical admissions unit: observational study [J].
Howard, RL ;
Avery, AJ ;
Howard, PD ;
Partridge, M .
QUALITY & SAFETY IN HEALTH CARE, 2003, 12 (04) :280-285
[6]  
Jimmy Beena, 2011, Oman Med J, V26, P155, DOI 10.5001/omj.2011.38
[7]   Preventable hospital admissions related to medication (HARM): Cost analysis of the HARM study [J].
Leendertse, Anne J. ;
Van den Bemt, Patricia M. L. A. ;
Poolman, J. Bart ;
Stoker, Lennart J. ;
Egberts, Antoine C. G. ;
Postma, Maarten J. .
VALUE IN HEALTH, 2011, 14 (01) :34-40
[8]   The effects of a shared decision-making intervention in primary care of depression:: A cluster-randomized controlled trial [J].
Loh, Andreas ;
Simon, Daniela ;
Wills, Celia E. ;
Kriston, Levente ;
Niebling, Wilhelm ;
Haerter, Martin .
PATIENT EDUCATION AND COUNSELING, 2007, 67 (03) :324-332
[9]  
LYNAS K, 2008, CAN PHARM J, V141, P211
[10]   Adverse drug events and medication errors: detection and classification methods [J].
Morimoto, T ;
Gandhi, TK ;
Seger, AC ;
Hsieh, TC ;
Bates, DW .
QUALITY & SAFETY IN HEALTH CARE, 2004, 13 (04) :306-314