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Divergence from guidelines.
Similar patterns of inappropriate use were detected in the haemato-oncology ward: no indication in 14%, and divergence from guidelines in 11.2%.
In the medical wards, no indication was found in 11.6% of prescriptions, divergence from guidelines in 11%, and inappropriate application in 9.9%.
The divergence from guidelines was mostly noted for patients with hypomania, which was associated with inappropriate treatments with antidepressants, absence of psychotropic treatment, and/or inadequate dosage [ 20].
Divergence from guidelines was mostly noted for patients suffering from hypomania, with 68% of hypomanic patients receiving non-concordant treatment to guidelines.
Similar(55)
Simultaneously, nearly all provided examples of divergence from guideline recommendations.
Several studies have evaluated divergence from asthma guidelines, 12 13 but have not been able to accurately estimate non-adherence to guidelines among a representative sample of individuals.
In our study, antimicrobial prescriptions without indication, and divergence from institutional guidelines were frequent errors.
Categories of inappropriateness included: 168 (17.5%) no indication, 73 (7.6%) incorrect choice, 89 (9.3%) incorrect application, and 77 (8%) divergence from local guidelines.
Most frequent characteristics of inappropriate treatments included: No indication (17.5%); incorrect choice of antimicrobials (7.6%); incorrect application of drugs (9.3%); and divergence from institutional guidelines (8%).
The most frequent errors in surgical wards, medical wards, and ICUs were prescriptions without an indication, whereas divergence from local guidelines was the most important concern in haemato-oncology units.
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