Adverse medication events in a psychiatric practice: a naturalistic study
Aims and method To document the number and type of adverse medication events in a psychiatric sector service. Significant new adverse events were collated by the author and team over 30 months. Intervention to prevent any adverse event was enacted as soon as any were noticed or anticipated. Results Thirty-six significant events occurred including three deaths and nine near misses. Corrective action was taken immediately any adverse event occurred. Inadequate communication between various hospital clinics, general practitioner practices, psychiatric clinics and pharmacies was the biggest avoidable cause of adverse events. Clinical implications Awareness of adverse drug events is essential in psychiatry. Clear, transparent pathways of prescribing are a key requirement to reduce avoidable adverse medication events. Psychopharmacology is a core module for psychiatric training.
Objective To supply reference for appropriate application of statistics in medical paper preparation.Methods Statistics misapplication problems in research design,material description and analysis in medical papers were summarized.Results Statistics misapplication problems mainly included that ① the randomization,control,replication and equalization principles were violated,② the material description was not appropriate,③ statistical methods were misused regardless of the characteristics of the data and ④ statistical and practical meanings were confused in results explanation. Items that should be noted and the countermeasures in medical paper preparation were presented.Conclusion Statisticcs misapplication commonly exists in medical papers. Medical researchers should strengthen the learning on statistic theory and improve the ability of transforming the practical issues into the statistical issues.