Unrecognized Drug-Related Visits in Emergency Departments: A Growing Concern for Patient Safety

Emergency departments (EDs) are often overwhelmed with patients presenting with various symptoms, making it challenging for physicians to identify and address potential drug-related issues. However, a growing body of evidence suggests that ED physicians may be missing opportunities to recognize and handle drug-related ED visits, which can pose a significant threat to patient safety.

According to a recent study, nearly 20% of patients visiting the ED had a drug-related visit, highlighting the need for increased attention in this area. The study found that only about 11% of identified drug-related ED visits were documented by physicians during the hospital stay, indicating a gap in recognition and documentation.

The study also revealed that antithrombotic agents were most frequently involved in drug-related ED visits, while immunosuppressants had the highest relative frequency. Adverse effects and non-adherence to medication regimens were identified as the primary causes of these visits.

The study's findings emphasize the importance of identifying risk factors for drug-related ED visits, including increasing age, a larger number of regular medications, and medical referral reasons. The median age of patients in the study was 67 years, with an average of four regular medications being used.

To address this issue, an interdisciplinary team conducted medication reconciliation and review alongside standard care during ED visits. This approach involved pharmacists working closely with physicians to identify and resolve potential drug-related issues.

In conclusion, drug-related ED visits are a significant concern for patient safety, and it is essential that ED physicians recognize and address these issues promptly. By implementing strategies such as medication reconciliation and review, we can work towards improving patient outcomes and reducing the risk of adverse events associated with drug-related ED visits.

Rate of inappropriate ed visits