{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T11:15:00Z","timestamp":1783336500334,"version":"3.54.6"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There are few reports on drug use in patients while hospitalised and none regarding management or clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To describe cases of drug use by inpatients requiring an urgent clinical response.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed cases at a teaching hospital in Sydney, Australia, from February 2019 to March 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty cases were identified, with no deaths. Two patient groups were identified: (i) substance use disorders, using illicit drugs and (ii) self\u2010harm history, using prescribed or over\u2010the\u2010counter drugs. Management involved cardiac monitoring (40%), intensive care (30%), charcoal (20%), antidotes (20%) and intubation (13%). Discharge was planned in 22 of 30 patients, against medical advice in four and directed by medical staff in four.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Inpatient drug use requiring an urgent clinical response was infrequently recognised but presents a risk of harm to patients and staff and increases service utilisation and costs. Both harm reduction and systematic approaches guided by institutional policy are recommended. Using these events as reachable moments to address driving factors may modify patients' risk from future events.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16336","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T07:45:35Z","timestamp":1706082335000},"page":"925-931","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Substance use during hospitalisation requiring an urgent clinical response: an opportunity for intervention"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5604-6732","authenticated-orcid":false,"given":"Emily","family":"Nash","sequence":"first","affiliation":[{"name":"Drug Health Services Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School, University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew H.","family":"Dawson","sequence":"additional","affiliation":[{"name":"Drug Health Services Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School, University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Haber","sequence":"additional","affiliation":[{"name":"Drug Health Services Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School, University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Gribble","sequence":"additional","affiliation":[{"name":"Drug Health Services Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School, University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Psychiatry Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Volovets","sequence":"additional","affiliation":[{"name":"Drug Health Services Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Sydney Medical School, University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61036-9"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.27.6.217"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12270"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.06.011"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofaa074"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003759"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-046110"},{"key":"#cr-split#-e_1_2_7_9_1.1","unstructured":"Australian Institute of Health and Welfare [Homepage on the Internet]. 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