Failure to weigh patients in hospital: a medication safety risk

Authors: Hilmer; Rangiah; Bajorek; Shenfield

Source: Internal Medicine Journal, Volume 37, Number 9, September 2007 , pp. 647-650(4)

Publisher: Wiley-Blackwell

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Abstract:

Abstract

Often patients are not weighed in hospital. Failure to weigh patients prescribed renally excreted drugs may correlate to adverse drug events. We carried out a cross-sectional study of patients prescribed common renally excreted drugs (heparin, enoxaparin and gentamicin), admitted to two wards at Royal North Shore Hospital, Sydney over 3 months. Of all patients surveyed, 28% (22/78) in the orthopaedic ward and 22% (27/124) in the medical ward were weighed. Among those prescribed therapeutic doses of the study drugs, 25% (3/12) in the orthopaedic ward and 27% (7/26) in the medical ward were weighed. Patients prescribed therapeutic anticoagulation who were not weighed experienced more haemorrhagic complications than patients who were weighed (P = 0.03). Patients prescribed renally excreted drugs in hospital are frequently not weighed. This is associated with reduced medication safety.

Keywords: creatinine clearance; enoxaparin; gentamicin; medication safety; patient weight; quality use of medicines

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1445-5994.2007.01457.x

Affiliations: Departments of Clinical Pharmacology

Publication date: September 1, 2007

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