Drug classes most frequently associated with preventable drug related admission due to prescribing problems
British National Formulary class | Adverse drug event | Prescribing problem | Number of cases |
---|---|---|---|
*If a drug related admission involves more than one causative drug it may be recorded more than once in the table. | |||
†Further details on “other” drug categories are available on the QSHC website (www.qshc.com/supplemtal). | |||
Non-steroidal anti-inflammatory drugs | Gastrointestinal toxicity | Prescription in patients with two or more risk factors without gastrointestinal prophylaxis* | 21 |
Renal tubular necrosis | Concurrent prescription of two full dose non-steroidal anti-inflammatory drugs without monitoring renal function | 1 | |
Subtotal | 22 | ||
Antiplatelet drugs | Gastrointestinal toxicity | Prescription in patients with two or more risk factors without gastrointestinal prophylaxis* | 13 |
Thrombotic event | Failure to prescribe in patients needing secondary prevention | 4 | |
Subtotal | 17 | ||
Beta-adrenoceptor blocking drugs | Congestive cardiac failure | Prescription of standard dose beta-blocker in patient with known congestive cardiac failure | 2 |
Co-prescription of atenolol with verapamil* | 1 | ||
Tachycardia | Sudden cessation | 1 | |
Bleeding oesophageal varices | Cessation without prescription of alternative | 1 | |
Chest pain | Failure to maximise anti-anginal therapy despite ongoing symptoms over a period of time* | 2 | |
Subtotal | 7 | ||
Antiepileptics | Fitting | Subtherapeutic prescription | 4 |
Inappropriate cessation | 2 | ||
Subtotal | 6 | ||
Other | 38† |