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Methods of Assessment of Drug Administration in a Psychiatric Hospital

Published online by Cambridge University Press:  29 January 2018

Brian R. Ballinger
Affiliation:
Royal Dundee Liff Hospital, Liff, by Dundee, DD2 5NF, Angus, Scotland
Anna C. Ramsay
Affiliation:
Drug Monitoring Unit, Royal Dundee Liff Hospital, Liff, by Dundee, DD2 5NF, Angus, Scotland
Michael J. Stewart
Affiliation:
Ninewells Hospital, Dundee, Angus, Scotland

Summary

Previous studies have shown varying rates of discrepancy in drug administration in psychiatric hospitals, and the present survey attempted to elucidate this problem further, using two methods of investigation simultaneously.

Two wards in a psychiatric hospital and one ward in a mental subnormality hospital were studied. Urine specimens were tested for psychotropic drugs, and ward drug rounds were observed to detect discrepancies in administration.

Of the 266 instances of drug administration tested for in urine specimens, prescribed drugs were not detected in 7·9 per cent of cases and non-prescribed drugs were found in another 29 instances. Observation was made of 3,689 instances of drug administration, and in 1·7 per cent of these the drug was not given or taken as prescribed, whereas no instances of ingestion of non-prescribed drugs were observed. The reasons for the discrepancies and the different results obtained by the two methods are discussed.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1975 

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References

Ballinger, B. R., Simpson, E. & Stewart, M. J. (1974) An evaluation of a drug administration system in a psychiatric hospital. British Journal of Psychiatry, 125, 202–7.Google Scholar
Berry, D. J. & Grove, J. (1971) Improved chromatographic techniques and their interpretation for the screening of urine from drug dependent subjects. Journal of Chromatography, 61, 111–17.CrossRefGoogle Scholar
Crooks, J., Weir, R. D., Coull, D. C., McNab, J. W., Calder, G., Barnett, J. W. & Caie, H. B. (1967) Evaluation of a method of prescribing drugs in hospital using a new method of recording their administration. Lancet, i, 668–71.Google Scholar
Forrest, F. M. & Forrest, I. S. (1957) A simple test for the detection of chlorpromazine in urine. American Journal of Psychiatry, 113, 931–2.CrossRefGoogle ScholarPubMed
Gardner-Thorpe, C., Parsonage, M. J., Smethurst, P. F. & Toothill, C. (1972) A comprehensive gas chromatographic scheme for the estimation of anti-epileptic drugs. Clinica Chimica Acta, 36, 223–30.Google Scholar
Greene, R. J. (1973) Drug administration in psychiatric hospitals. Cornwall Hospital Management Committee (Bodmin).Google Scholar
Hare, E. H. & Wilcox, D. R. C. (1967) Do psychiatric in-patients take their pills? British Journal of Psychiatry, 113. 1435–9.Google Scholar
Leach, H. & Toseland, P. A. (1968) The determination of barbiturates and some related drugs by gas chromatography. Clinica Chimica Acta, 20, 195203.Google Scholar
Lemontey, Y., Meunier, J. & Lesfargue, P. (1970) Recherche, identification et dosage en toxicologie d'urgence des 5-H-dibenzo-(b.f.)-azépines dans les milieux biologiques. Clinica Chimica Acta, 30, 713–19.Google Scholar
Meade, B. W., Widdop, B., Blackmore, D. J., Brown, S. S., Curry, A. S., Goulding, R., Higgins, G., Matthew, H. J. S. & Rinsler, M. G. (1972) Simple tests to detect poisons. Annals of Clinical Biochemistry, 9, 3546.Google Scholar
Tompsett, S. L. (1968a) The detection and determination of phenothiazinc drugs in the urine. Acta Pharmacologica et Toxicologica, 26, 303–15.CrossRefGoogle Scholar
Tompsett, S. L. (1968b) Nitrazepam (Mogadon) in blood serum and urine and Librium in urine. Journal of Clinical Pathology, 21, 366–71.Google Scholar
Stewart, M. J. & Bell, J. Reproducibility of urinary screening profiles in patients on a range of psychotropic drugs. In preparation.Google Scholar
Watt, J. A., Stewart, R. A. Y., Ross, A. M., Daw, D. P., Martin, M. E. & Dorricott, N. (1973) A system of drug handling in hospitals. British Journal of Psychiatry, 122, 71–8.Google Scholar
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