{
  "abstract": "Objectives This study aims to identify readily available admission variables associated with unintentional medicinal discrepancies (UMDs) in psychiatric settings and to develop a feasible prioritisation rule with robust psychometric performance.Methods This observational study collected information on items available at admission for patients admitted to six French psychiatric hospitals between June and August 2021. Based on the international literature and personal experience feedback, a multidisciplinary committee network and a psychiatry-mental health research federation elaborated a list of items potentially valuable for prioritisation and proposed a specific tool for psychiatric settings, named O-PsyConcil. Medication reconciliation (MR) was performed, and UMDs were identified. Items associated with UMDs were investigated through a backward stepwise logistic regression model, calculating adjusted ORs and their 95% CIs. The prioritisation rules were proposed using the more efficient combination in terms of feasibility and psychometric characteristics.Results The study included 513 patients (median age 48 years, IQR 33–68; 48% women). Factors associated with UMDs were comorbidities (OR 1.49 for one more comorbidity; 95% CI 1.23 to 1.82), psychiatric high-risk medications (HRMs) (2.64; 1.68 to 4.16), and somatic HRMs (3.43; 1.70 to 7.06). Based on these results, the prioritisation rule combining one comorbidity and/or one psychotropic HRM and/or one somatic HRM led to assessing 61% of the total population, with median performances of 82% (IQR 78-85%) for sensitivity and 48% (43-52%) for specificity.Conclusions The O-PsyConcil tool demonstrated satisfactory performance, suggesting it could enhance the efficiency of psychiatric MR compared with standard non-prioritised MR.",
  "authors": [
    {
      "affiliations": [
        "Centre Hospitalier de Montauban, Montauban, France",
        "Réseau PIC, Psychiatrie Information Communication, Bordeaux, France"
      ],
      "name": "Eleonore Gawel"
    },
    {
      "affiliations": [
        "Réseau PIC, Psychiatrie Information Communication, Bordeaux, France",
        "Centre Hospitalier Gérard Marchant, Toulouse, France"
      ],
      "name": "Julie Haybrard"
    },
    {
      "affiliations": [
        "Réseau PIC, Psychiatrie Information Communication, Bordeaux, France",
        "Centre Hospitalier Charles Perrens, Bordeaux, France"
      ],
      "name": "Emmanuelle Queuille"
    },
    {
      "affiliations": [
        "Fédération Régionale de Recherche en Psychiatrie et Santé Mentale Occitanie, Toulouse, France"
      ],
      "name": "Alexandrine Salis"
    },
    {
      "affiliations": [
        "Fédération Régionale de Recherche en Psychiatrie et Santé Mentale Occitanie, Toulouse, France"
      ],
      "name": "Médéric De Chivré"
    },
    {
      "affiliations": [
        "Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire de Toulouse, Toulouse, France"
      ],
      "name": "Samuel Tessier"
    },
    {
      "affiliations": [
        "Réseau PIC, Psychiatrie Information Communication, Bordeaux, France",
        "Etablissement Public de Santé Mentale, Caen, France"
      ],
      "name": "Mathieu Colombe"
    },
    {
      "affiliations": [
        "Réseau PIC, Psychiatrie Information Communication, Bordeaux, France",
        "Centre Hospitalier Guillaume Régnier, Rennes, France"
      ],
      "name": "Bastien Langree"
    },
    {
      "affiliations": [
        "Réseau PIC, Psychiatrie Information Communication, Bordeaux, France",
        "Centre Hospitalier Sainte-Anne, Paris, France"
      ],
      "name": "Sylvain Leroy"
    },
    {
      "affiliations": [
        "Réseau PIC, Psychiatrie Information Communication, Bordeaux, France",
        "Pharmacie, Centre Hospitalier Universitaire de Toulouse, Toulouse, France"
      ],
      "name": "Philippe Cestac"
    },
    {
      "affiliations": [
        "Centre Hospitalier Gérard Marchant, Toulouse, France"
      ],
      "name": "Laurence Bonnet"
    },
    {
      "affiliations": [
        "Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire de Toulouse, Toulouse, France"
      ],
      "name": "Maryse Lapeyre-Mestre"
    },
    {
      "affiliations": [
        "Fédération Régionale de Recherche en Psychiatrie et Santé Mentale Occitanie, Toulouse, France",
        "Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire de Toulouse, Toulouse, France"
      ],
      "name": "Yoann Zelmat"
    }
  ],
  "title": "Medication reconciliation at patient admission in psychiatric setting: prioritisation tool to reduce medication errors (O-PsyConcil)",
  "uid": "1ec8dcef-d390-598c-8668-d63b30368a63"
}