Benefit of targeted, pharmacist‐led education for junior doctors in reducing prescription writing errors – a controlled trial.
Abstract: Background: Prescribing errors are common and a known cause of adverse patient outcomes. Junior doctors are responsible for the majority of prescribing, and may benefit from educational interventions. Aim: To assess the effect of (1) targeted pharmacist‐led feedback and education, and (2)...
| Publicado en: | Journal of Pharmacy Practice & Research Vol. 48; no. 1; pp. 26 - 36 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128032597&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128032597 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1445937X 6CKV jtl: Journal of Pharmacy Practice & Research issn: 1445937X maglogo: N pubinfo: dt: Feb2018 vid: 48 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 128032597 128032597 128032597 10.1002/jppr.1330 128032597 ppf: 26 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Benefit of targeted, pharmacist‐led education for junior doctors in reducing prescription writing errors – a controlled trial. aug: au: Gursanscky, Jared Young, Joanne Griffett, Kerryn Liew, Danny Smallwood, David affil: University of Melbourne Medical School, Melbourne, Australia sug: subj: Interns and Residents Education Physicians Education Feedback Internet Medication Errors Education Inappropriate Prescribing Education Program Evaluation Human Randomized Controlled Trials Australia Random Assignment Chi Square Test Pretest-Posttest Design Descriptive Statistics ab: Abstract: Background: Prescribing errors are common and a known cause of adverse patient outcomes. Junior doctors are responsible for the majority of prescribing, and may benefit from educational interventions. Aim: To assess the effect of (1) targeted pharmacist‐led feedback and education, and (2) an e‐learning prescribing module, on prescription writing error rates by junior doctors in the inpatient medical setting. Methods: We undertook a cluster randomised trial in 2014 involving 16 prescribers in four general medical units of an Australian tertiary hospital. One unit was randomised to prescribing feedback and targeted education by a clinical pharmacist; another unit was randomised to an e‐learning intervention on safe prescribing; and two units were randomised to no intervention. Data were collected via daily audit of paper medication charts. A prescription writing error was deemed to have occurred if patient or prescriber details were incomplete, or if a medication order was illegible, incomplete or incorrect. Statistical analysis was by Chi‐squared comparison of each unit's error rate pre‐intervention to post‐intervention. Results: Prescription writing errors were significantly reduced in the pharmacist education group, from 0.58 errors/total orders pre‐intervention to 0.37 errors/total orders post‐intervention (p < 0.001). Conversely, an increase in the error rate of the control group was observed from 0.49 to 0.59 errors/total orders (p < 0.001), and to a lesser extent in the e‐learning group from 0.58 to 0.63 errors/total orders (p = 0.025). Conclusions: Regular and targeted pharmacist feedback and education is effective at reducing prescription writing errors, while the effect of e‐learning tools remains unclear. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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