Titre : | A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs |
Titre traduit : | (Une forte augmentation des erreurs mortelles d'automédication avec usage d'alcool et/ou de drogues récréatives.) |
Auteurs : | D. P. PHILLIPS ; G. E. BARKER ; EGUCHI M. M. |
Type de document : | Périodique |
Année de publication : | 2008 |
Format : | 1561-1566 |
Note générale : |
Archives of Internal Medicine, 2008, 168, (14), 1561-1566 |
Langues: | Français |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus mots-clés MEDICAMENTS ; CAUSE DE DECES ; AUTOMEDICATION ; MORTALITE ; ALCOOL ; OPIACESThésaurus géographique ETATS-UNIS |
Résumé : |
ENGLISH : BACKGROUND: Increasingly, medications are consumed outside of clinical settings, with relatively little professional oversight. Despite this trend, previous studies of medication errors have focused on clinical settings. METHODS: We examined all US death certificates from January 1, 1983, to December 31, 2004 (N = 49,586,156), particularly those with fatal medication errors (FMEs) (n = 224,355). We examined trends in 4 types of FMEs that vary according to the relative importance of alcohol/street drugs and the relative likelihood of professional oversight in the consumption of medications. RESULTS: The overall FME death rate increased by 360.5% (1983-2004). This increase far exceeds the increase in death rates from adverse effects of medications (33.2%) or from alcohol and/or street drugs (40.9%). The increase in FMEs varies markedly by type. Type 1 (domestic FMEs combined with alcohol and/or street drugs) shows the largest increase (3196%). In contrast, type 4 (nondomestic FMEs not involving alcohol and/or street drugs) shows the smallest increase (5%). Types 2 and 3 show intermediate increases. Type 2 (domestic FMEs not involving alcohol and/or street drugs) increased by 564%. Type 3 (nondomestic FMEs combined with alcohol and/or street drugs) increased by 555%. Thus, domestic FMEs combined with alcohol and/or street drugs have become an increasingly important health problem compared with other FMEs. CONCLUSIONS: These findings suggest that a shift in the location of medication consumption from clinical to domestic settings is linked to a steep increase in FMEs. It may now be possible to reduce FMEs by focusing not only on clinical settings but also on domestic settings. (Author' s abstract) |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 43 |
Affiliation : |
Department of Sociology 0533, University of California at San Diego, 9500 Gilman Dr, La Jolla, CA 92093-0533. Email : dphillips@ucsd.edu Etats-Unis. United States. |
Numéro Toxibase : | 1302617 |
Centre Emetteur : | 13 OFDT |
Cote : | A03754 |
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