[Assessment of inappropriate prescriptions in psychiatric in-patients].
OBJECTIVE
To evaluate occurrence of the inappropriate prescriptions in a psychiatric department.


METHODS
In this prospective survey over a two-month period, the medical orders were analysed. Inappropriate prescription was defined as any discrepancy with summary of product characteristics (SPC) or our hospital treatment guidelines.


RESULTS
One hundred inpatients (72 women, mean age 37.5+/-15 years) were included. We reviewed 495 medication orders, which represent 1875 prescribed drugs. We found 2636 discrepancies with SPC or our hospital treatment guidelines. The proportion of discrepancies related to legal informations was 21.28% and them related to pharmacotherapy was 55.04%. The proportion of discrepancy per patient was estimated to 4.93%.


CONCLUSIONS
Our study shows a high proportion of inappropriate prescriptions, none of them having induced adverse-drug effects.
Service de Pharmacie, Hôpital Lapeyronie, CHU Montpellier, 371 avenue du Doyen Gaston Giraud, Montpellier, France.
Benjamin
B
Bord
Philippe
P
Courtet
Sylvie
S
Hansel
Eric
E
Barbotte
Yolande
Y
Marhuenda
Hélène
H
Peyrière
D000328:Adult; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D007297:Inpatients; D008297:Male; D019300:Medical Errors / Q000706:statistics & numerical data*; D001523:Mental Disorders / Q000188:drug therapy*; D008875:Middle Aged; D011567:Psychiatric Department, Hospital; D011619:Psychotropic Drugs / Q000627:therapeutic use
D011619:Psychotropic Drugs