Single-Center Analysis of the Potential Inappropriate Use of Intravenous Medications in Hospitalized Patients in China

AbstractThis study categorizes the types of inappropriate intravenous prescriptions in hospitalized patients in China. Prescription data from 2016 were retrospectively analyzed based on predefined categories of inappropriateness. Of the 123,521 patients included, 89.2% received intravenous medicatio...

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Bibliographic Details
Published in:Clinical therapeutics 2019-08, Vol.41 (8), p.1631-1637.e4
Main Authors: Zeng, Shuangshuang, MD, Wang, Dong, PhD, Yan, Yuanliang, PhD, Zhu, Minwen, B.S, Liu, Wanli, MD, Gong, Zhicheng, PhD, Wang, Ling, PhD, Sun, Shusen, PhD
Format: Article
Language:English
Subjects:
Administration, Intravenous
Adolescent
Adult
Anti-Bacterial Agents - economics
Anti-Bacterial Agents - therapeutic use
Antibiotics
Child
Child, Preschool
China
Drug Costs
Female
Gynecology
Herbal medicine
Hormones
Hospitalization
Hospitalization - economics
Hospitalization - statistics & numerical data
Hospitals
Humans
Inappropriate Prescribing - statistics & numerical data
Infant
Infant, Newborn
Internal Medicine
Intravenous administration
Male
Medical Education
Medicine, Chinese Traditional - economics
Metabolism
Middle Aged
Obstetrics
Patient safety
Pediatrics
Prescriptions
Traditional Chinese medicine
Young Adult
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Summary:AbstractThis study categorizes the types of inappropriate intravenous prescriptions in hospitalized patients in China. Prescription data from 2016 were retrospectively analyzed based on predefined categories of inappropriateness. Of the 123,521 patients included, 89.2% received intravenous medications, contributing to 80% of the patients' hospital medication costs. Of significant concern, antibiotics and traditional Chinese medicines were administered to 44.3% and 14.5% of hospitalized patients, respectively. Overall, 11.4% of all intravenous prescriptions were classified as inappropriate, with improper diluent and diluent volumes being the primary cause. A team-based collaborative approach is necessary to address this widespread issue in China.
ISSN:0149-2918
1879-114X
DOI:10.1016/j.clinthera.2019.05.009