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Nearly 34,000 children presenting to emergency departments each year due to medicine problems, new report finds

31 January 2025

 

An estimated 93 children present to Australia’s emergency departments each day due to medicine-related problems, with approximately 40 admitted to hospitals, according to a new report from the peak body for Australian pharmacists.

 

The Medicine safety: Child and adolescent care report released by the Pharmaceutical Society of Australia today reveals the extent of medicine-related problems in children and adolescents, costing the Australian economy at least $130 million each year.

 

In the past six months alone, approximately 120,000 Australian children under 14 years old have experienced an adverse event due to medicines.

 

The report calls for Australia’s health system to be better equipped to deal with medicine safety challenges, with recommendations for action including the implementation of a national incident reporting and learning system, so that when children are harmed by medicines, health professionals and systems learn how to prevent another child suffering the same harm. This would bring Australia in line with many of our international peers, including Canada who have had the Assurance and Improvement in Medication Safety (AIMS) program in place since 2019.

 

Further recommendations also call for increased availability of pharmacists in paediatric wards of hospitals, as well as mandatory indication on prescriptions for children and adolescents, and mandatory manual dose checks during dispensing of paediatric prescriptions.

 

PSA National President Associate Professor Fei Sim FPS said the report’s findings painted a sobering reality of medicine use in Australia’s children and adolescents, showing the urgent need for reform.

 

“As the peak body for all pharmacists in all areas of practice, PSA continues to advocate for pharmacists to be further empowered in their roles as medicine safety experts.

 

“Our health system is failing children and adolescents. As a health community, we must commit to doing better, but we also need to be given the resources and tools to do better. Pharmacists are critical to ensure the safe use of medicines and must be supported to do so.

 

“That means adequately staffing children’s hospital wards with the expertise of pharmacists, investing in systems that capture the data needed for evidence-based policy, and improving the quality use of medicines whenever medicines are used.

 

“It takes all of us, across all areas of practice and indeed across all health professions, to make a difference to the children and adolescents who rely on our care,” Associate Professor Sim concluded.

 

The full Medicine safety: Child and adolescent care report is available at www.psa.org.au/medicine-safety-child-adolescent-care-report/

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Improve Quality Use of Medicines to improve mental health care: report

22 November 2023

 

Pharmacists can play a greater role in helping patients manage their mental health through the quality use of medicines, a new report from the Pharmaceutical Society of Australia (PSA) has found.  

 

The sixth edition of PSA’s flagship Medicine Safety series, Medicine Safety: Mental Health Care report highlights opportunities for pharmacists to better support Australians using medicines to treat mental health conditions, including improving access to care and investing in quality use of medicines services at critical points of care.  

 

Key report stats: 

 

  • People with severe mental health conditions have poorer physical health than the general community and have a 12–16 year shorter life expectancy. 
  • 18% of Australians use medicines to treat a mental health condition. 
  • Antidepressants were involved in 31% of medicine-related deaths due to overdose, and antipsychotics in 17% of medicine-related deaths due to overdose.
  • 1 in 4 Australians are taking a medicine that would not be recommended for them based on the individual genetic variation of their drug metabolising enzymes.
  • Medicine changes are frequent in mental health facilities, with an average of 10 changes per admission. 
  • Over 40% of mental health facilities do not have any pharmaceutical handover at discharge.

 

PSA’s recommendations from the Medicine Safety: Mental Health Care report support better medicine management and wrap-around mental health care to improve quality of life for Australians living with a mental health condition. 

 

Quotes attributable to PSA National President Dr Fei Sim FPS:

 

“The evidence presented in this report shows that, as a nation, we need to do better.

 

“Wherever medicines are used there is a risk of medicine misadventure, which is exactly what this report has found.   

 

“We know that the prevalence of mental ill health is on the rise, and more people are using medicines to manage a mental health condition.  

 

“Too often we hear of people stopping treatment altogether because of the effects of these medicines, because they make them unwell. This is where we believe there is significant opportunity for investment in pharmacist services to help support the safe and effective use of medicines.

 

“People using medicines in their mental health care need better access to the expertise of pharmacists at all stages of management – in hospitals, in community pharmacies, in private clinics and across the whole spectrum of care.  

 

“Our recommendations focus on addressing specific gaps in the provision of comprehensive health care and challenge the ‘set-and-forget’ paradigm that people using mental health medicines too often experience.  

 

“From implementing a mental health screening program in community pharmacies, to formalising transition of care pharmacist services to reduce the risk of medicine-related harm when transferring from hospital to home, pharmacists can and should be part of a collaborative, multidisciplinary and person-centred approach to mental health care. 

 

“This is about ensuring patients have the support they need to get the most out of their medicines safely and effectively.

 

Quotes attributable to Assistant Minister for Mental Health and Suicide Prevention and Assistant Minister for Rural and Regional Health, Emma McBride MP:

 

“The Pharmaceutical Society of Australia (PSA) should be commended on the launch of their most recent medicine safety report, Medicine Safety: Mental Health Care.

 

“This is a timely report on the importance of medication safety in mental health given the prevalence of common mental health disorders and the medications often prescribed as part of treatment and care.

 

“The report also highlights the vital role pharmacists play – across settings – to improve safety and importantly reduce harm.

 

“As a pharmacist who worked in acute adult inpatient services I know this report will be influential as we work together to improve patient care.”

 

The Medicine Safety: Mental Health Care report and PSA’s recommendations are available at https://www.psa.org.au/advocacy/working-for-our-profession/medicine-safety/mental_health/  

 

 

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au