{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:44:49Z","timestamp":1785815089037,"version":"3.56.0"},"reference-count":0,"publisher":"University of the Philippines Manila","issue":"14","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Philipp"],"abstract":"<jats:p>Background. The role of prescription errors (PE) in mental healthcare environments is not well understood. There are\u00a0few studies that have examined PE in psychiatric hospitals. Although the occurrence of PE in mental health facilities\u00a0is less frequent than in general hospitals, the specifics of PE remain unclear.\nObjective. The study aims to shed light on both the circumstances of each PE in a regional psychiatric hospital in\u00a0Germany and the factors that shape the nature of PE.\nMethods. This qualitative narrative investigation was part of a large-scale one-year observational study (January\u00a02023 \u2013 2024) conducted at St. Josef psychiatric hospital AMEOS Oberhausen in Germany. The therapeutic protocols\u00a0of the patients were anonymized, and PE were identified according to a modified EQUIP method. For each PE, a\u00a0double-blind interview was conducted and recorded. Through the interviews, we extracted the keywords based on\u00a0their frequency and by using NVivo 13 software we build up a codebook followed by a Delphi consensus to clarify\u00a0the nature of the PE. The observers also recorded the prescriber's behavioral patterns. An analysis of the thematic\u00a0patterns, semantic groups, and principal factors was executed.\nResults. In total, 6020 therapeutic plans were compiled, and 150 PE were detected, leading to an error rate of\u00a02.5%. The predominant PE were associated with medications for musculoskeletal and joint disorders, followed by\u00a0gastrointestinal drugs and central nervous system (CNS) medications, including psychotropics. The mean duration\u00a0of the interviews was 2.6 \u00b1 0.8 minutes. The average age of the prescribers was 35.5 \u00b1 4.9 years, with 52.1% being\u00a0male. Through the interviews, we extracted the following keywords: minimum - shortest time, time - underpressure, unrecognizable - unidentifiable script, vision loss - lack of lighting, lack of knowledge, stress - work stress. There\u00a0were few cases reported where prescribers failed to\u00a0pay attention, experienced communication breakdowns,\u00a0suffered from lack of sleep, had concentration issues,\u00a0issued unnecessary prescriptions, responded to patient\u00a0requests, and made misspellings. The average meeting\u00a0duration was 20 \u00b1 4.2 minutes. The Delphi consensus\u00a0indicated that there are four primary semantic groups:\u00a0features of time, reading - spelling challenges, poor\u00a0lighting, and communication difficulties. These are\u00a0identified as key factors contributing to PE in mental\u00a0health contexts, and a hypothesis regarding the nature\u00a0of writing PE is discussed.\nConclusions. Although nearly all PE were classified as\u00a0minor in severity, the qualitative research indicated\u00a0variability in the responses from prescribers regarding\u00a0each PE. Nonetheless, there are prominent semantic\u00a0categories, such as temporal aspects, the act of writing,\u00a0and environmental conditions, that could clarify the\u00a0 characteristics of PE. We suggest that the process of\u00a0documenting PE is a complex undertaking with checkpoints\u00a0that should be adhered to. More research is\u00a0needed to clarify the risks and factors associated with\u00a0the nature of PE, in a way to develop interventions to\u00a0address them.<\/jats:p>","DOI":"10.47895\/amp.v60i14.13854","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:01:10Z","timestamp":1785812470000},"source":"Crossref","is-referenced-by-count":0,"title":["Prescription Errors in a Mental Healthcare Facility: A Content Analysis of Brief Interviews"],"prefix":"10.47895","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7883-2558","authenticated-orcid":false,"given":"Charalambos","family":"Dokos","sequence":"first","affiliation":[{"name":"Department of Acute and Emergency Medicine, Klinikum Luedenscheid, Luedenscheid, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5863-8968","authenticated-orcid":false,"given":"Jost","family":"Eberlein","sequence":"additional","affiliation":[{"name":"St. Josef Psychiatric Hospital AMEOS, Oberhausen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7241-6860","authenticated-orcid":false,"given":"Olympia","family":"Konstantakopoulou","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Health Sciences, Frederick University, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9537-3595","authenticated-orcid":false,"given":"Alexandra","family":"Skitsou","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Health Sciences, Frederick University, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1308-5782","authenticated-orcid":false,"given":"Petros","family":"Galanis","sequence":"additional","affiliation":[{"name":"Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6384-732X","authenticated-orcid":false,"given":"Georgios","family":"Charalambous","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Health Sciences, Frederick University, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5690-1390","authenticated-orcid":false,"given":"Kyriakoula","family":"Manaridou","sequence":"additional","affiliation":[{"name":"St. Josef Psychiatric Hospital AMEOS, Oberhausen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27557","published-online":{"date-parts":[[2026,7,31]]},"container-title":["Acta Medica Philippina"],"original-title":[],"link":[{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/13854\/7216","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/13854\/7216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:01:12Z","timestamp":1785812472000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/view\/13854"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":0,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2026,7,31]]}},"URL":"https:\/\/doi.org\/10.47895\/amp.v60i14.13854","relation":{},"ISSN":["2094-9278","0001-6071"],"issn-type":[{"value":"2094-9278","type":"electronic"},{"value":"0001-6071","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,31]]}}}