Increasing the uptake of electronic prescribing in primary care

Imambaccus, Nazia; Glace, S.; Heath, Rory

doi:10.1136/bmjquality.u212185.w4870

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…Many studies have also shown that use of electronic prescribing systems in hospitals can help to reduce prescription errors. This may improve the quality of prescriptions as well as quality of care [26,27], but this requires sufficient funding and extensive training of doctors on the usage of electronic system. Factors such as age of doctors, years of experience, number of patients consulted per day, location of hospitals, and type of hospitals showed no significant association after adjusting for the confounders.…”

Section: Discussionmentioning

confidence: 99%

Quality of medical prescriptions in diabetes and hypertension management in Kerala and its associated factors

Vijayakumar

Nair

et al. 2020

BMC Public Health

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Background: Kerala is facing challenges in the secondary prevention efforts of non-communicable diseases (NCDs). In spite of being the top performer in health parameters among Indian states, the burden of NCDs, especially diabetes mellitus (diabetes) and hypertension, is higher in Kerala. This research endeavours to identify the role of quality of medical prescriptions in secondary prevention of diabetes and hypertension and suggest corrective measures. Methods: This cross-sectional study involved collection of prescription data and other details from consenting doctors across seven districts in Kerala. After the quality of prescription was assessed using a checklist, scores were generated, and cutoff points were used to classify the prescriptions. PASW version 18 software, was used for data analysis which included univariate and bivariate analyses and logistic regression. The proportion of quality prescriptions was estimated after adjusting for clustering, and the proportion of doctors writing quality prescriptions was also estimated. Prior to the study, ethical clearance from Independent ethics committee in Health action by People (HAP) and informed consent from all the study participants were obtained. Results: After assessing 9199 prescriptions from 344 doctors, it was found that about 37.2% (95% CI: 34.9-39.4%) of the prescriptions were of good quality, and 48.2% (95% CI: 42.9-53.7%) of the doctors provided quality prescriptions. Factors associated with quality prescriptions were found to be knowledge about NCD guidelines, quality certifications of hospitals and usage of patient data management software. Conclusions: In the context of rising prevalence of NCDs and the challenges in the secondary prevention efforts, this is one of the first studies in Kerala to evaluate the quality of prescriptions to manage NCDs as prescriptions often reflect the quality of medical management. The study also addresses other factors associated with quality medical management. The findings indicate that the scope for improvement is more than 50%, when considered for the overall quality of prescriptions in diabetes and hypertension management. Further, it was found that appropriate training of doctors, adherence to treatment guidelines and the use of technology may improve the overall quality of prescriptions.

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Section: Discussionmentioning

confidence: 99%

Quality of medical prescriptions in diabetes and hypertension management in Kerala and its associated factors

Vijayakumar

Nair

et al. 2020

BMC Public Health

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“…All medical students were able to identify a clinical problem and more than 90% have been able to apply robust QI methodologies with the aim to improve practice, gaining insights into problem‐solving strategies in their future careers. QIP report findings have also been disseminated through scholarly presentations and articles …”

Section: Discussionmentioning

confidence: 99%

“…QIP report findings have also been disseminated through scholarly presentations and articles. 10,11 Students wanted to choose a QIP to work on rather than be allocated one, and some suggested that they wanted to design their own project Challenges remain, however. Post-module evaluation has illustrated the impact of complete curriculum change on the students, particularly when a new module requires clinical teachers to deliver something novel.…”

Section: Discussionmentioning

confidence: 99%

Implementing undergraduate quality improvement

Martin

Wylie

Dubras³

et al. 2019

The Clinical Teacher

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Summary Background All clinicians need to have knowledge and expertise to undertake quality improvement (QI). In 2016, a London medical school initiated a core QI and evidence‐based practice module for fourth‐year students. We describe the structure and content of the module and analyse QI projects (QIPs) and student feedback. Methods We collected data on QIPs, including number and location, adherence to QI methodology and level of improvement achieved. We also examined end‐of‐module feedback with free text analysis of the written comments. Results A total of 398 students completed 99 QIPs: 90% were based in secondary care and 10% were based in primary care. A total of 72 projects (72%) led to improvements in clinical care, with 14% achieving their stated aim. Adherence to methodology was high: 75% had a ‘SMART (specific, measurable, achievable, realistic and timely)’ aim; 96% implemented at least one plan–do–study–act (PDSA) cycle (range 1–4), and appropriate run charts for measures occurred in 80% of projects. QIPs were categorised based on their outcome: self‐help and self‐care, 12%; efficiency, 16%; prevention and early detection, 14%; drug safety, 11%; improvement to pathways and protocols, 44%; and improving patient experience 3%. The implementation challenges encountered were: suboptimal supervisor preparedness; student time limitations; and difficulties with the virtual learning platform. However, the experiences that QIPs offered in preparation for postgraduate training were appreciated by students. Conclusions We have demonstrated that students are able to robustly apply QI methodologies, equipping them to act as agents for change, learning as they do, and meaningfully improving QI capacity and capability in local health systems.

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Pharmaceutical examination of prescriptions from pharmacy chains of the Republic of Crimea from 2020 to 2021

Egorova,

Useinova,

Shtyrkova

et al. 2024

Zdravoohran. Ross. Fed.

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Introduction. Along with the correct diagnosis of the disease, the stage of choosing the means of pharmacological correction is important, as well as the correct registration of the application to the pharmacy and ensuring the patient’s access to the necessary medication. The purpose of the study is the pharmacological examination of prescription forms received by pharmacy institutions of the Republic of Crimea for the period 2020–2021. Materials and methods. The object of the study was a random sample of three hundred thirty two scanned copies of prescription forms No. 148-1/u-04 (L), No. 107-1/u. Additionally, we conducted a survey of pharmacy staff (n = 46). The questionnaire included questions on the analyzed error groups, and also assumed a subjective assessment of the impact of the fact of incorrect prescriptions on the work process. Over the course of the study, methods of analysis, descriptive statistics, comparison, and survey were used. Results. The main violations identified in the analyzed prescription forms were incorrect indications of the dosage forms (DF) of the prescribed drugs, as well as inaccuracies in their single and/or daily dosages. In 74 of the received recipes, errors were made when specifying the DF. The study of the frequency of prescribing medication of the certain pharmacological groups allowed determining the largest number of prescriptions to be written for drugs of the anxiolytic group, nootropic drugs, antidepressants. The result of a survey of employees of pharmacy chains revealed to be faced with incorrectly issued prescription forms on a daily basis. Limitations. During the pharmaceutical examination of copies of prescription forms received from pharmacy chains of the Republic of Crimea, 322 prescription forms were analyzed, which is a sufficient reference sample. Conclusion. When studying individual prescription forms, a sufficient number of various errors were revealed, which may entail a decrease in the quality of medical care for patients on the one hand, and on the other hand, suggests the occurrence of certain difficulties in the work of pharmaceutical workers.

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Increasing the uptake of electronic prescribing in primary care

Cited by 3 publications

References 2 publications

Quality of medical prescriptions in diabetes and hypertension management in Kerala and its associated factors

Quality of medical prescriptions in diabetes and hypertension management in Kerala and its associated factors

Implementing undergraduate quality improvement

Pharmaceutical examination of prescriptions from pharmacy chains of the Republic of Crimea from 2020 to 2021

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