Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting

Lloyd, Michael; Watmough, Simon; O’Brien, Sarah; Hardy, Kevin; Furlong, Niall

doi:10.1016/j.sapharm.2020.12.008

Cited by 12 publications

(11 citation statements)

References 54 publications

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“…Beginning in 2011, our hospital optimized the organizational structure, division of labor, management functions, and work priorities of its DTC. The main purpose of the DTC is to promote the formulation and implementation of clinical diagnosis and treatment guidelines related to drug treatment and guiding principles for clinical application of drugs, monitoring, and evaluating the use of drugs in the institution, proposing intervention and improvement measures, and guiding clinical rational drug use ( Lloyd et al, 2021 ; Zaragoza Laura Largeau et al). Before 2016, the DTC had no sub groups.…”

Section: Introductionmentioning

confidence: 99%

Drug and therapeutics committee interventions in managing irrational drug use and antimicrobial stewardship in China

Yang

Zheng²,

Guan³

et al. 2022

Front. Pharmacol.

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Aim: This study aimed to investigate the key points in the transformation of the functions of the Drug and Therapeutics Committee (DTC) of the Shandong Provincial Third Hospital and how to provide full authority to its role in the control of rational drug use, especially in the management of antibiotic use.Method: A prescription review management group, antimicrobial stewardship group, and rational drug use service group were established under the DTC. From January 2016 to December 2021, each group played a role in promoting rational drug use and antimicrobial stewardship. In addition, we performed statistics on typical management cases, irrational drug use, bacterial resistance rate, and drug costs from 2015 to 2021 to evaluate the effect of management by the DTC.Results: Intervention by the DTC led to a significant reduction in prescribing errors (71.43%, p < 0.05), the intervention acceptance rate increased by 16.03%, and the problem solved rate increased by 32.41% (p < 0.05). Resistance rates of general spectrum antibiotics were reduced remarkably after the intervention. The quality of drug treatment was improved and patient drug expenses was continuously reduced.Conclusion: Giving full play to the functions of the DTC can significantly improve the level of drug treatment and reduce unreasonable drug use to save unnecessary drug expenses and slow the development of drug resistance.

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Section: Introductionmentioning

confidence: 99%

Drug and therapeutics committee interventions in managing irrational drug use and antimicrobial stewardship in China

Yang

Zheng²,

Guan³

et al. 2022

Front. Pharmacol.

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“…10,11 Our hospital's evidence-based, pharmacy-based, pre-review model for hospital prescriptions/doctor's orders has gradually comprehensiveness and efficiency of the pre-review of prescriptions/doctor's orders, to significantly increase the qualification rate of prescriptions compared with the rate pre-implementation, and to increase doctors' acceptance and patient satisfaction, which is important for standardizing prescription behaviour, improving prescription quality, and improving pharmacists' skills. 12 The professional skills ensuring the safe and reasonable use of medicines and saving on labour of medical care have an important role in promoting effective health care and patient safety and are worth transferring to other hospitals.…”

Section: Discussionmentioning

confidence: 99%

Pharmacist‐led, prescription intervention system‐assisted feedback to reduce prescribing errors: A retrospective study

et al. 2021

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Prescribing errors are prevalent in hospital settings in China. 1 Prevalence studies have reported prescribing error rates of between 2% and 15%. 2 Prescribing errors comprise errors in the decisionmaking process and can include incorrect dosing, frequency, quantity, indication, interactions and contraindications. Interventions to support desirable prescribing behaviours are needed, with feedback reported to improve prescribing practices. 3,4 Pharmacists, as medication experts and established members of clinical teams, are well placed to support the development of good prescribing practices among doctors. Pharmacist-led

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“…Open access interventions to improve prescribing are still primarily in the context of paper drug charts. [11][12][13][14] In the UK, newly qualified ('junior') doctors have previously been identified as having one of the highest error rates among prescribers, as well as doing most inpatient prescribing. 6 15 The UK Foundation Programme is a 2-year mandatory training programme for newly qualified medical graduates.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Learning from prescribing errors requires an understanding of the context (both at system and individual level) and that feedback be provided for relevant stakeholders, including prescribers. Past research has generally focused on measuring prescribing errors or root cause analysis6–10; more recent publications on feedback interventions to improve prescribing are still primarily in the context of paper drug charts 11–14…”

Section: Introductionmentioning

confidence: 99%

“…The Royal College of Physicians recognises that supporting junior doctors in safe prescribing requires education, practical resources and a culture of patient safety 16. Numerous studies have identified this novice prescriber group as a focus for educational interventions but to date, most have been in the context of paper-based prescribing 3 11–14…”

Section: Introductionmentioning

confidence: 99%

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Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data

et al. 2022

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ObjectivesTo explore the views of junior doctors towards (1) electronic prescribing (EP) training and feedback, (2) readiness for receiving individualised feedback data about EP errors and (3) preferences for receiving and learning from EP feedback.DesignExplanatory sequential mixed methods study comprising quantitative survey (phase 1), followed by interviews and focus group discussions (phase 2).SettingThree acute hospitals of a large English National Health Service organisation.Participants25 of 89 foundation year 1 and 2 doctors completed the phase 1 survey; 5 participated in semi-structured interviews and 7 in a focus group in phase 2.ResultsFoundation doctors in this mixed methods study reported that current feedback provision on EP errors was lacking or informal, and that existing EP training and resources were underused. They believed feedback about prescribing errors to be important and were keen to receive real-time, individualised EP feedback data. Feedback needed to be in manageable amounts, motivational and clearly signposting how to learn or improve. Participants wanted feedback and better training on the EP system to prevent repeating errors. In addition to individualised EP error data, they were positive about learning from general prescribing errors and aggregated EP data. However, there was a lack of consensus about how best to learn from statistical data. Potential limitations identified by participants included concern about how the data would be collected and whether it would be truly reflective of their performance.ConclusionsJunior doctors would value feedback on their prescribing, and are keen to learn from EP errors, develop their clinical prescribing skills and use the EP interface effectively. We identified preferences for EP technology to enable provision of real-time data in combination with feedback to support learning and potentially reduce prescribing errors.

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Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting

Cited by 12 publications

References 54 publications

Drug and therapeutics committee interventions in managing irrational drug use and antimicrobial stewardship in China

Drug and therapeutics committee interventions in managing irrational drug use and antimicrobial stewardship in China

Pharmacist‐led, prescription intervention system‐assisted feedback to reduce prescribing errors: A retrospective study

Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data

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