Résumé
Assessment of Inappropriate Prescriptions in Psychiatric in-Patients.
Objective. To evaluate occurrence of the inappropriate prescriptions in a psychiatric department.
Methodology. 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%.
Conclusion. Our study shows a high proportion of inappropriate prescriptions, none of them having induced adverse-drug effects.