Missing Dosages and Neuroleptic Usage May Prolong Length of Stay in Hospitalized XXXX @entity1 .

@entity1 @entity1726 @entity935 @entity191
BACKGROUND: @entity191 @entity1 are more likely to be hospitalized, have higher rates of hospital complications, and have an increased risk of deterioration during hospitalization. Length of stay is an important underlying factor for these increased risks. We aimed to investigate potential medication errors that may occur during hospitalization and its impact on length of hospital stay. METHODS: A cross-sectional chart review of 339 consecutive hospital encounters from 212 @entity1726 subjects was performed. Medication errors were defined as wrong timing or omission of administration for dopaminergic drugs and administration of contraindicated @entity935 blockers. An analysis of covariance was applied to examine whether these medication errors were related to increased length of hospital stays. RESULTS: A significant effect for dopaminergic administration (p<0.01) on length of hospital stay was observed. Subjects who had delayed administration or missed at least one dose stayed longer (M=8.2 days, SD=8.9 vs. M=3.6 days SD=3.4). Contraindicated @entity935 blocking agents were administered in 23% (71/339) of cases, and this was also significantly related to an increased length of stay (M=8.2 days, SD=8.9 vs. M=3.6 days SD=3.4), p<0.05. @entity1 who received a contraindicated @entity935 blocker stayed in the hospital longer (M=7.5 days, SD=9.1) compared to those who did not (M=5.9 days, SD=6.8). Neurologists were consulted in 24.5% of encounters. Specialty consultation had no effect on the medication related errors. CONCLUSIONS: Missing dopaminergic dosages and administration of @entity935 blockers occur frequently in hospitalized @entity191 @entity1 and this may impact length of stay. These potentially modifiable factors may reduce the risk of a longer stay related to hospitalization.
