Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/22971 |
Resumo: | This cross-sectional study collected data from the Brazilian National Health System (NHS) patients’ that filled their psychotropic prescriptions in NHS owned pharmacies. The study aimed to identify oversights in psychotropic prescriptions leading to insecure therapeutic. Patients in use of at least one psychotropic drug in 12 months were identified by a retrospective data search and considered for the study. After examining 15,001 patients in use of psychotropic medicines, 7,440 met the inclusion criterion. The majority of patients were women (67.1%), 54.2% of prescriptions analysed over the studied period presented multiple medicines including one psychotropic, and 54.7% cursing with psychotropic monotherapy. In 92.7% of cases, only one medicine was dispensed and prescriptions from psychiatrists represented only 17.6% of cases. In terms of safety, 9.5% of patients had at least one potential drug interaction of clinical significance, and 71.5% of elder patients had at least one drug that was potentially inappropriate for their age group use. These findings suggest urgency in integrating patients’ medical records information to pharmacotherapy history at the pharmacy computer technology applied for dispensing, reducing harm to patients in the use of psychotropic drugs. |
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Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapiesLas prescripciones no psiquiatras dentro del Sistema Nacional de Salud brasileño representan riesgo a los pacientes en el uso de farmacoterapias psicotrópicasAs prescrições não psiquiátricas no Sistema Nacional de Saúde brasileiro representam um risco para os pacientes no uso de farmacoterapias psicotrópicasPsychotropic drugsPrescriptionDrug interactionMedical recordsPharmacotherapy.PrescripciónRegistros médicosInteracciónFármacos pscicotrópicosFarmacoterapia.PscicotrópicosPrescriçãoInteração medicamentosaRegistros médicosFarmacoterapia.This cross-sectional study collected data from the Brazilian National Health System (NHS) patients’ that filled their psychotropic prescriptions in NHS owned pharmacies. The study aimed to identify oversights in psychotropic prescriptions leading to insecure therapeutic. Patients in use of at least one psychotropic drug in 12 months were identified by a retrospective data search and considered for the study. After examining 15,001 patients in use of psychotropic medicines, 7,440 met the inclusion criterion. The majority of patients were women (67.1%), 54.2% of prescriptions analysed over the studied period presented multiple medicines including one psychotropic, and 54.7% cursing with psychotropic monotherapy. In 92.7% of cases, only one medicine was dispensed and prescriptions from psychiatrists represented only 17.6% of cases. In terms of safety, 9.5% of patients had at least one potential drug interaction of clinical significance, and 71.5% of elder patients had at least one drug that was potentially inappropriate for their age group use. These findings suggest urgency in integrating patients’ medical records information to pharmacotherapy history at the pharmacy computer technology applied for dispensing, reducing harm to patients in the use of psychotropic drugs.Este estudio transversal recopiló datos de pacientes del Sistema Nacional de Salud de Brasil (NHS) que surtieron sus recetas de psicotrópicos en farmacias propiedad del NHS. El estudio tuvo como objetivo identificar descuidos en las prescripciones psicotrópicas que conducen a una terapéutica insegura. Los pacientes en uso de al menos un fármaco psicotrópico en 12 meses fueron identificados mediante una búsqueda de datos retrospectiva y considerados para el estudio. Después de examinar a 15.001 pacientes en el uso de medicinas psicotrópicos, 7.440 cumplieron el criterio de inclusión. La mayoría de los pacientes eran mujeres (67,1%), el 54,2% de las prescripciones analizadas durante el período estudiado presentaban múltiples medicamentos, incluido uno psicotrópico, y el 54,7% maldiciones con monoterapia psicotrópica. En el 92,7% de los casos, solo se dispensa un medicamento y las prescripciones de psiquiatras representan solo el 17,6% de los casos. En términos de seguridad, el 9,5% de los pacientes tenían al menos una interacción farmacológica potencial de importancia clínica, y el 71,5% de los pacientes de edad avanzada tenían al menos un fármaco que era potencialmente inapropiado para el uso de su grupo de edad. Estos hallazgos sugieren la urgencia de integrar la información de los registros médicos de los pacientes al historial de farmacoterapia en la tecnología informática de la farmacia aplicada para la dispensación, lo que reduce el daño a los pacientes en el uso de fármacos psicotrópicos.Este estudo transversal coletou dados de pacientes do Sistema Único de Saúde (SUS) que preencheram suas prescrições de psicotrópicos em farmácias próprias do SUS. O estudo teve como objetivo identificar descuidos nas prescrições de psicotrópicos levando a uma terapêutica insegura. Pacientes em uso de pelo menos um psicofármaco em 12 meses foram identificados por meio de busca retrospectiva de dados e considerados para o estudo. Após o exame de 15.001 pacientes em uso de psicofármacos, 7.440 atenderam ao critério de inclusão. A maioria dos pacientes era do sexo feminino (67,1%), 54,2% das prescrições analisadas no período estudado apresentavam múltiplos medicamentos incluindo um psicotrópico e 54,7% cursando com monoterapia psicotrópica. Em 92,7% dos casos, foi dispensado apenas um medicamento e as prescrições de psiquiatras representaram apenas 17,6% dos casos. Em termos de segurança, 9,5% dos pacientes apresentavam pelo menos uma potencial interação medicamentosa com significância clínica e 71,5% dos pacientes idosos tinham pelo menos um medicamento potencialmente inapropriado para o uso em sua faixa etária. Esses achados sugerem urgência na integração das informações dos prontuários dos pacientes ao histórico de farmacoterapia da tecnologia de informática da farmácia aplicada à dispensação, reduzindo os danos aos pacientes no uso de psicofármacos.Research, Society and Development2021-11-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2297110.33448/rsd-v10i15.22971Research, Society and Development; Vol. 10 No. 15; e455101522971Research, Society and Development; Vol. 10 Núm. 15; e455101522971Research, Society and Development; v. 10 n. 15; e4551015229712525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/22971/20339Copyright (c) 2021 Guilherme Vaz de Melo Trindade; Diego Alexandre Gomes Sousa; Ana Elisa Santos Duarte; Jássia Lopes Freitas da Silveira; Roberto Lazzarini de Oliveira; Laryssa de Cássia Ferreira; Pedro Polastri Lima Peixoto; Angelita Cristine de Melohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessTrindade, Guilherme Vaz de Melo Sousa, Diego Alexandre GomesDuarte, Ana Elisa SantosSilveira, Jássia Lopes Freitas daOliveira, Roberto Lazzarini deFerreira, Laryssa de CássiaPeixoto, Pedro Polastri Lima Melo, Angelita Cristine de 2021-12-06T10:13:53Zoai:ojs.pkp.sfu.ca:article/22971Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:41:58.805981Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies Las prescripciones no psiquiatras dentro del Sistema Nacional de Salud brasileño representan riesgo a los pacientes en el uso de farmacoterapias psicotrópicas As prescrições não psiquiátricas no Sistema Nacional de Saúde brasileiro representam um risco para os pacientes no uso de farmacoterapias psicotrópicas |
title |
Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies |
spellingShingle |
Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies Trindade, Guilherme Vaz de Melo Psychotropic drugs Prescription Drug interaction Medical records Pharmacotherapy. Prescripción Registros médicos Interacción Fármacos pscicotrópicos Farmacoterapia. Pscicotrópicos Prescrição Interação medicamentosa Registros médicos Farmacoterapia. |
title_short |
Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies |
title_full |
Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies |
title_fullStr |
Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies |
title_full_unstemmed |
Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies |
title_sort |
Non-psychiatrist prescriptions within the Brazilian National Health System represents a risk to patients in the use of psychotropic pharmacotherapies |
author |
Trindade, Guilherme Vaz de Melo |
author_facet |
Trindade, Guilherme Vaz de Melo Sousa, Diego Alexandre Gomes Duarte, Ana Elisa Santos Silveira, Jássia Lopes Freitas da Oliveira, Roberto Lazzarini de Ferreira, Laryssa de Cássia Peixoto, Pedro Polastri Lima Melo, Angelita Cristine de |
author_role |
author |
author2 |
Sousa, Diego Alexandre Gomes Duarte, Ana Elisa Santos Silveira, Jássia Lopes Freitas da Oliveira, Roberto Lazzarini de Ferreira, Laryssa de Cássia Peixoto, Pedro Polastri Lima Melo, Angelita Cristine de |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Trindade, Guilherme Vaz de Melo Sousa, Diego Alexandre Gomes Duarte, Ana Elisa Santos Silveira, Jássia Lopes Freitas da Oliveira, Roberto Lazzarini de Ferreira, Laryssa de Cássia Peixoto, Pedro Polastri Lima Melo, Angelita Cristine de |
dc.subject.por.fl_str_mv |
Psychotropic drugs Prescription Drug interaction Medical records Pharmacotherapy. Prescripción Registros médicos Interacción Fármacos pscicotrópicos Farmacoterapia. Pscicotrópicos Prescrição Interação medicamentosa Registros médicos Farmacoterapia. |
topic |
Psychotropic drugs Prescription Drug interaction Medical records Pharmacotherapy. Prescripción Registros médicos Interacción Fármacos pscicotrópicos Farmacoterapia. Pscicotrópicos Prescrição Interação medicamentosa Registros médicos Farmacoterapia. |
description |
This cross-sectional study collected data from the Brazilian National Health System (NHS) patients’ that filled their psychotropic prescriptions in NHS owned pharmacies. The study aimed to identify oversights in psychotropic prescriptions leading to insecure therapeutic. Patients in use of at least one psychotropic drug in 12 months were identified by a retrospective data search and considered for the study. After examining 15,001 patients in use of psychotropic medicines, 7,440 met the inclusion criterion. The majority of patients were women (67.1%), 54.2% of prescriptions analysed over the studied period presented multiple medicines including one psychotropic, and 54.7% cursing with psychotropic monotherapy. In 92.7% of cases, only one medicine was dispensed and prescriptions from psychiatrists represented only 17.6% of cases. In terms of safety, 9.5% of patients had at least one potential drug interaction of clinical significance, and 71.5% of elder patients had at least one drug that was potentially inappropriate for their age group use. These findings suggest urgency in integrating patients’ medical records information to pharmacotherapy history at the pharmacy computer technology applied for dispensing, reducing harm to patients in the use of psychotropic drugs. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-11-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/22971 10.33448/rsd-v10i15.22971 |
url |
https://rsdjournal.org/index.php/rsd/article/view/22971 |
identifier_str_mv |
10.33448/rsd-v10i15.22971 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/22971/20339 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 15; e455101522971 Research, Society and Development; Vol. 10 Núm. 15; e455101522971 Research, Society and Development; v. 10 n. 15; e455101522971 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052809643819008 |