Identifying potential prescribing safety indicators related to mental health disorders and medications: A systematic review

被引：12
作者：
Khawagi, Wael Y. [1 ,2 ]
Steinke, Douglas T. [1 ]
Nguyen, Joanne [1 ,3 ]
Keers, Richard N. [1 ,3 ]
机构：
[1] Univ Manchester, Div Pharm & Optometry, Sch Hlth Sci, Fac Biol Med & Hlth, Manchester, Lancs, England
[2] Taif Univ, Coll Pharm, Clin Pharm Dept, At Taif, Saudi Arabia
[3] Greater Manchester Mental Hlth NHS Fdn Trust, Pharm Dept, Manchester, Lancs, England
来源：
PLOS ONE | 2019年 / 14卷 / 05期
关键词：
DRUG-RELATED MORBIDITY; OLDER PERSONS PRESCRIPTIONS; NORWEGIAN GENERAL-PRACTICE; INAPPROPRIATE MEDICATION; SCREENING TOOL; EXPLICIT CRITERIA; ELDERLY-PATIENTS; AMBULATORY-CARE; DEVELOPING CONSENSUS; QUALITY INDICATORS;
D O I：
10.1371/journal.pone.0217406
中图分类号：
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
Background Prescribing errors and medication related harm may be common in patients with mental illness. However, there has been limited research focusing on the development and application of prescribing safety indicators (PSIs) for this population. Objective Identify potential PSIs related to mental health (MH) medications and conditions. Methods Seven electronic databases were searched (from 1990 to February 2019), including the bibliographies of included studies and of relevant review articles. Studies that developed, validated or updated a set of explicit medication-specific indicators or criteria that measured prescribing safety or quality were included, irrespective of whether they contained MH indicators or not. Studies were screened to extract all MH related indicators before two MH clinical pharmacists screened them to select potential PSIs based on established criteria. All indicators were categorised into prescribing problems and medication categories. Results 79 unique studies were included, 70 of which contained at least one MH related indicator. No studies were identified that focused on development of PSIs for patients with mental illness. A total of 1386 MH indicators were identified (average 20 (SD = 25.1) per study); 245 of these were considered potential PSIs. Among PSIs the most common prescribing problem was 'Potentially inappropriate prescribing considering diagnoses or conditions' (n = 91, 37.1%) and the lowest was 'omission' (n = 5, 2.0%). 'Antidepressant' was the most common PSI medication category (n = 85, 34.7%). Conclusion This is the first systematic review to identify a comprehensive list of MH related potential PSIs. This list should undergo further validation and could be used as a foundation for the development of new suites of PSIs applicable to patients with mental illness.
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页数：29
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