Worldwide, harmful use of alcohol causes more than 3 million deaths per year. Two-thirds of American adults consume alcohol and up to 10% abuse it. In the United States every year, more than 600,000 emergency department visits are related to alcohol intoxication. Pennsylvania ranks in the top third for binge drinking in the United States. Between January 1, 2005, and December 31, 2015, more than 9,500 alcohol-related events were reported to the Pennsylvania Patient Safety Authority through its Pennsylvania Patient Safety Reporting System. Review of narratives revealed 1,327 event reports involving acute alcohol intoxication in adults; 69 were identified as Serious Events, including deaths. Most events occurred in the emergency department. A majority of Serious Events involved patient falls. Other findings, such as seizures, combativeness, suicide-related, and leaving against medical advice occurred. Failures or inadequacies of assessing and monitoring intoxicated patients were identified as factors contributing to harm. Assessment and management of these patients--including screening and brief intervention--and behavioral assessment are key elements to the care and prevention of harm of the intoxicated patient.
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