Use of pro re nata medications in acute inpatient care.

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Show simple item record Stein-Parbury, J Reid, K Smith, N Mouhanna, D Lamont, F 2010-05-28T09:50:06Z 2008-04
dc.identifier.citation The Australian and New Zealand journal of psychiatry, 2008, 42 (4), pp. 283 - 292
dc.identifier.issn 0004-8674
dc.identifier.other C1 en_US
dc.description.abstract OBJECTIVES: Available evidence suggests that the use of 'as needed' (PRN; from the Latin pro re nata: for an occasion that has arisen) medications has remained a standard aspect of treatment in acute inpatient mental health units over a number of years despite lack of evidence from controlled clinical trials. The practice is one in which doctors and nurses are interdependent; that is, while doctors prescribe the medications, professional nurses are the ones who make the clinical decisions to administer them. The aim of the present study was to provide a detailed description of the circumstances surrounding the use of PRN medications across four inpatient units in Sydney. METHODS: The medical records of all patients admitted for >24h during a 2 month period were retrospectively audited for details regarding prescriptions and administrations of PRN medications. RESULTS: A total of 420 records were reviewed, producing a total of 3868 PRN medication administrations. Ninety-seven per cent of all patients were prescribed PRN medications and 93.8% were prescribed regular medications. The most frequently prescribed medications were second-generation antipsychotics for regular use along with benzodiazepine for PRN use. Nearly 84% of patients received at least one PRN medication during their admission, while patients diagnosed with personality disorder received more PRNs per day. The most common reason for PRN administration was patient agitation. The results indicated poor documentation in the prescription and documentation of PRN administrations. Also, the findings show that a small subset of the patients (5%) received >30% of all PRN medications. CONCLUSION: PRN medication use has endured as standard practice and the results of the present study are consistent with the reported frequency of use increasing slightly over the years. The combination of second-generation antipsychotics as regular medications and benzodiazepines for PRN medication is consistent with recommended treatment guidelines. The small subset of patients who were overrepresented in the PRN administrations is noteworthy.
dc.format Print
dc.language eng
dc.relation.isbasedon 10.1080/00048670701881553
dc.title Use of pro re nata medications in acute inpatient care.
dc.type Journal Article
dc.parent The Australian and New Zealand journal of psychiatry
dc.journal.volume 4
dc.journal.volume 42
dc.journal.number 4 en_US
dc.publocation New York, USA en_US
dc.identifier.startpage 283 en_US
dc.identifier.endpage 292 en_US FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1799 Other Psychology and Cognitive Sciences
dc.personcode 870045
dc.personcode 997622
dc.personcode 103309
dc.personcode 921144
dc.percentage 100 en_US Other Psychology and Cognitive Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity ISI:000254425600003 en_US
dc.description.keywords Humans
dc.description.keywords Acute Disease
dc.description.keywords Benzodiazepines
dc.description.keywords Antipsychotic Agents
dc.description.keywords Drug Administration Schedule
dc.description.keywords Retrospective Studies
dc.description.keywords Mental Disorders
dc.description.keywords Hospitals, Public
dc.description.keywords Adult
dc.description.keywords Inpatients
dc.description.keywords Middle Aged
dc.description.keywords Psychiatric Department, Hospital
dc.description.keywords Drug Utilization
dc.description.keywords Australia
dc.description.keywords Female
dc.description.keywords Male
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Faculty of Science
pubs.organisational-group /University of Technology Sydney/Faculty of Science/School of Mathematical Sciences
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)

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