Exploring the impact of feedback on prescribing error rates: a pilot study

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

doi:10.1007/s11096-017-0503-x

Cited by 12 publications

(7 citation statements)

References 9 publications

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“…Prescription-writing interventions require evaluation and feedback on one potential intervention to improve prescribing practice. Doctors have reported a lack of feedback on their previous prescriptions so that the evaluation is limited (Lloyd, et. al., 2017).…”

Section: Resultsmentioning

confidence: 99%

Medication Error at the Prescribing Phase

Octavia¹,

Purwandini²,

Hilaria³

et al. 2021

j. info kesehat.

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Medication errors are accidental failures in a therapeutic process that lead to and have the potential to cause or harm the patient. Medication errors can endanger patient safety, inconvenience and economic burdens. Medication errors can occur at the prescribing, recording, issuing, and administering stages. Reducing the risk of medication errors is a shared responsibility among patients, healthcare professionals, regulators and the pharmaceutical industry at all levels of healthcare delivery. This research is a quantitative research with a descriptive approach. The population taken was 912 prescriptions written by general practitioners at the PKU Muhammadiyah Cepu Hospital in March-May 2019. The sampling technique used was non-probability sampling, which was total sampling. The instrument used in this study was an observation sheet, then the collected data were processed by editing, coding, scoring, and tabulating stages which were then concluded descriptively. The results showed that the incidence of drug prescribing errors in inpatients at PKU Muhammadiyah Cepu Hospital in March 2019 found that all written prescriptions were 100% administratively incomplete. The incidence of prescription medication errors, especially the doctor's name, was 65.9%, the doctor's practice license number was 100%, the date of the prescription was 48.9%, the sign of R/70.9%, the doctor's initial 48.7% and the patient's address 97.4%. Incomplete administrative prescription writing can result in medication errors that are detrimental to health and add to the economic burden of patients.

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Section: Resultsmentioning

confidence: 99%

Medication Error at the Prescribing Phase

Octavia¹,

Purwandini²,

Hilaria³

et al. 2021

j. info kesehat.

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show abstract

“…Nevertheless, research shows that feedback by pharmacists on prescribing errors reduces the error frequency in a hospital setting. 28 One great way to implement more practice time during clerkships is through a student-run clinic. 29 There are some potential drawbacks associated with our study.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, in most hospitals students are not able to practise their prescribing skills due to a lack of supervised prescribing authorizations in the different hospital information systems. Nevertheless, research shows that feedback by pharmacists on prescribing errors reduces the error frequency in a hospital setting 28 . One great way to implement more practice time during clerkships is through a student‐run clinic 29 .…”

Section: Discussionmentioning

confidence: 99%

How would final‐year medical students perform if their skill‐based prescription assessment was real life?

Kalfsvel

Hoek

Bethlehem

et al. 2022

Brit J Clinical Pharma

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Aims Prescribing errors occur frequently, especially among junior doctors. Our aim was to investigate prescribing errors made by final‐year medical students. Information on these errors can help to improve education on and assessment of clinical pharmacotherapy (CPT). Methods This was a retrospective cohort study amongst final‐year medical students at Erasmus Medical Centre, The Netherlands. Errors made in the final prescribing assessment were analysed. Errors were categorized by type, possible consequence and possibility of reaching the patient in real life. Results A total of 381 students wrote 1502 analysable prescriptions. Forty per cent of these contained at least one error, and 54% of errors were of the inadequate information type. The rating of prescriptions for children was lower than for other question categories (P = <.001). Fifty per cent of errors were classified as “would have reached the patient but would not have had the potential to cause harm”. In total, 253 (29%) errors would not have been intercepted by an electronic prescribing system or a pharmacist. Ten (4%) of these would probably have caused harm in the patient. Conclusions There is a high rate of errors in prescriptions written by final‐year medical students. Most errors were of the inadequate information type, indicating that students had difficulties determining the content and amount of information needed to make treatment successful. Prescriptions for children contained most errors. Curricula could be improved by offering more case‐based CPT education, focusing on the practical issues of prescribing, especially for paediatric cases, and offering more practice time for prescribing during clerkships.

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“…Doctors consider pharmacists, who work closely with them on hospital wards and routinely observe their prescribing, well placed to deliver prescribing feedback. 95,104,105 The feedback process can be either directive or facilitative. 106 Directive feedback simply informs the learner of what requires correction via a monologue in which the learner is a passive recipient.…”

Section: Prescribing Educationmentioning

confidence: 99%