Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions

Gommans, John; McIntosh, Pat; Bee, Susan; Allan, William

doi:10.1111/j.1445-5994.2007.01518.x

Cited by 30 publications

(29 citation statements)

References 16 publications

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“…Physician habit in prescribing became one of the main causes of medication error, adverse drug incident and patient poor compliance (Gommans et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Inpatient prescribing errors and pharmacist intervention at a teaching hospital in Saudi Arabia

Al-Dhawailie

2011

Saudi Pharmaceutical Journal

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Prescribing errors in teaching hospital within inpatient pharmacy services were noticed. The applied method in this project might be implemented as part of pharmacy quality assurance program for ongoing detection and monitoring of such errors. Technology in prescribing process will support the practitioner to reduce the incidence of these errors. Forcing ongoing professional communication and education within the medical team about prescribing errors now appear warranted.

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“…Physician habit in prescribing became one of the main causes of medication error, adverse drug incident and patient poor compliance (Gommans et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Inpatient prescribing errors and pharmacist intervention at a teaching hospital in Saudi Arabia

Al-Dhawailie

2011

Saudi Pharmaceutical Journal

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“…[6][7][8][9] In comparison, this study showed that only targeted prescriber feedback was effective and that didactic education (rounds, inservices, lectures, posters and computer screen savers) with serial audit were not generally effective in improving prescriber compliance. Differences in the health care systems and number and types of facilities may account for some of these difference.…”

Section: Discussionmentioning

confidence: 93%

“…Differences in the health care systems and number and types of facilities may account for some of these difference. 6,7,9 In a similar Canadian health region, Horon et al 8 describe an 81.5% reduction in banned abbreviations (64.4% reduction for medications and 98.5% for total parenteral nutrition orders) over a 4-year period through the use of educational interventions followed by sustained use of reminder stickers for medical TABLE 3 Methods to educate and increase awareness and to improve compliance with the medication order writing standard (prescribers/nonprescribers) Nonprescribers: % agree/ strongly agree (n = 594), n (%)…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a medication order writing standards policy in a regional health authority

et al. 2013

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“…Therefore, we performed the present study as a cohort design comparing an untreated group to a group treated with a training course in correct MR compilation. In addition to our educational model, there are other methods of MR quality improvement: using electronic medical records [16][17][18][19] , using a personalized self-inking stamp [20][21][22] , and performing a clinical audit [23] .…”

Section: Discussionmentioning

confidence: 99%

A paired-comparison intervention to improve quality of medical records

Esposito

Pelullo

Agozzino

et al. 2013

JHA

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Background: To evaluate the quality of medical record (MR) compilation in the Teaching Hospital of the Second University of Naples, Italy, after a controlled intervention for quality improvement. Methods:From the 66 wards of the Teaching Hospital, we selected eight homogeneous pairs of wards, matched for similar typology. For each pair, we randomized a ward to undergo a training course about correct compilation of MRs (treated group) and considered the remaining ward as a control (untreated group). For each section of MR we evaluated completeness and clarity of handwriting and presence and clarity of signature. Results:In general, the worst result in both groups was the absence of signature in the daily diary (76.6% in the treated group and 94.4% in the untreated group). The greatest differences between the two groups were detected in the compilation of the daily diary (absent/incomplete in 1.9% of the treated group compared with 21.9% of the untreated group; relative risk [RR] = 11, 95% confidence interval [CI] = 5.1-26.4) and the physical examination section (absent/incomplete in 2.8% of the treated group compared with 21.3% of the untreated group; RR = 7.5; 95% CI = 3.8-14.8). Conclusions:Comparison between the treated and untreated groups shows that there is a significant improvement in compilation of several sections of the MRs in the treated group. However, the results obtained were only partially satisfactory because of the poor quality of MR compilation in both groups.

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Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions

Abstract: Serial audits of the quality of prescribing on hospital medication charts can rapidly identify the extent of deficiencies in prescribing practice, facilitate interventions specifically designed to address these and monitor their influence.

Cited by 30 publications

References 16 publications

Inpatient prescribing errors and pharmacist intervention at a teaching hospital in Saudi Arabia

Inpatient prescribing errors and pharmacist intervention at a teaching hospital in Saudi Arabia

Evaluation of a medication order writing standards policy in a regional health authority

A paired-comparison intervention to improve quality of medical records

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