Medication errors in mental healthcare:a systematic review


Methods: It has been estimated that medication error harms 1-2% of patients admitted to general hospitals. There has been no previous systematic review of the incidence, cause or type of medication error in mental healthcare services. Methods: A systematic literature search for studies that examined the incidence or cause of medication error in one or more stage(s) of the medication-management process in the setting of a community or hospital-based mental healthcare service was undertaken. The results in the context of the design of the study and the denominator used were examined. Results: All studies examined medication management processes, as opposed to outcomes. The reported rate of error was highest in studies that retrospectively examined drug charts, intermediate in those that relied on reporting by pharmacists to identify error and lowest in those that relied on organisational incident reporting systems. Only a few of the errors identified by the studies caused actual harm, mostly because they were detected and remedial action was taken before the patient received the drug. The focus of the research was on inpatients and prescriptions dispensed by mental health pharmacists. Conclusion: Research about medication error in mental healthcare is limited. In particular, very little is known about the incidence of error in non-hospital settings or about the harm caused by it. Evidence is available from other sources that a substantial number of adverse drug events are caused by psychotropic drugs. Some of these are preventable and might probably, therefore, be due to medication error. On the basis of this and features of the organisation of mental healthcare that might predispose to medication error, priorities for future research are suggested.

Publication DOI:
Divisions: Life & Health Sciences > Applied Health Research Group
Life & Health Sciences > Pharmacy
Life & Health Sciences
Life & Health Sciences > Chronic and Communicable Conditions
Uncontrolled Keywords: antipsychotic agents,community mental health services,drug prescriptions,drug utilization review,hospital psychiatric department,medication errors,medication systems,pharmacists,safety management
Full Text Link: http://europepm ... 84&blobtype=pdf
Related URLs: http://qualitys ... ontent/15/6/409 (Publisher URL)
PURE Output Type: Article
Published Date: 2006
Authors: Maidment, Ian D. ( 0000-0003-4152-9704)
Lelliott, Paul
Paton, Carol

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