Najčešće pogreške pri propisivanju psihofarmaka

professional thesis

• Author: Marija Ivanović
• Mentor: Miroslav Herceg (mentor)
• Committee member: Petra Turčić (predsjednik povjerenstva)
• Committee member: Miroslav Herceg (član povjerenstva)
• Committee member: Vesna Bačić Vrca (član povjerenstva)
• Granter: University of Zagreb; Faculty of Pharmacy and Biochemistry; Zagreb
• Defense date and country: 2022-12-06, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Pharmacy; Pharmacy

Abstract

Cilj istraživanja: Cilj je ovog specijalističkog rada utvrditi prirodu, učestalost i potencijalnu
ozbiljnost pogrešaka pri propisivanju psihofarmaka te ostalih medikacijskih pogrešaka u psihijatriji.
Predmet je rada i uloga farmaceuta u multidiciplinarnom bolničkom timu te njegova važnost u
detekciji i sprječavanju daljnjih pogrešaka tog tipa.
Materijali i metode: U svrhu istraživanja za potrebe ovog specijalističkog rada napravljen je sustavni
pregled relevantnih knjiga i psihijatrijskih priručnika, znanstvene i stručne literature, publikacija
stručnih institucija, bibliografskih baza podataka (Pubmed) te mrežnih stranica s bazama lijekova
(HALMED).
Rezultati: Uočena je problematika medikacijskih pogrešaka kao učestao i važan problem koji zahvaća
do 4 % stacionarnih pacijenata, a u zadnjih nekoliko godina tom se broju bilježi i porast. One
pridonose povećanom morbiditetu i mortalitetu, a i produljuju vrijeme hospitalizacije pacijenata. Čak
25 % sveukupnih parničnih postupaka u medicinskoj praksi uzrokovano je medikacijskim
pogreškama.
Zaključak: Zbog prevencije medikacijskih pogrešaka kao dijela medicinskih pogrešaka, preporučuje
se uzimanje detaljne anamneze pacijenta, individualan pristup svakom bolesniku, uključivanje cijelog
multidisciplinarnog tima u donošenju odluke o propisivanju lijeka te implementacija sustava nadzora
koji bi povećao sigurnost primjene lijekova kao i sustava izvješćivanja o medicinskim pogreškama
koje su se dogodile.

Abstract (english)

Research objectives: The aim of this paper is to determine the nature, frequency and potential
severity of errors in prescribing psychopharmaceuticals and other medication errors in psychiatry. The
focus is also on the role of the pharmacist in a multidisciplinary hospital team and their importance in
detection and prevention of such errors in the future.
Material and methods: For the purpose of researching for this paper, a systematic review was made
of relevant books and psychiatric manuals, scientific and professional literature, publications of
professional institutions, bibliographic databases (Pubmed) and web pages with drug databases
(HALMED).
Results: Medication error has been found to be a frequent and crucial problem that affects up to 4%
inpatients, and in the last few years their number has increased. Medication errors contribute to
increased morbidity and mortality, as well as prolong the hospitalization time of patients. As much as
25% of all civil procedures in medical practice are initiated because of medication errors.
Conclusion: In order to prevent medication errors in the scope of medical errors, it is recommended to
take a detailed medical history of every patient, approach patient individually, make sure the entire
multidisciplinary team is involved in decision-making regarding drug prescription, and implement a
monitoring system to increase the safe use of medication as well as a reporting system for medical
errors that have already occured.

• Keywords: medikacijske pogreške; psihofarmaci; psihijatrija
• Keywords (english): medication errors; psychopharmaceuticals; psychiatry
• Language: croatian
• URN:NBN: urn:nbn:hr:163:158368
• Study programme: Title: Clinical pharmacy; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/sveučilišna magistra kliničke farmacije (sveučilišni/a magistar/sveučilišna magistra kliničke farmacije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-01-09 15:33:30