Medication Prescribing, Surveillance and Safety in Australasian Emergency Departments.
Background: The prescribing practices of the Fellows of the Australasian College of Emergency Medicine (FACEM) in Australasian emergency departments (EDs) are unknown. Aim: To describe the FACEM's prescribing practices in relation to charting and monitoring medications in the ED; and to investigate...
| Publicado en: | Journal of Pharmacy Practice & Research Vol. 41; no. 2; pp. 113 - 118 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2011
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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=62806482&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 62806482 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1445937X 6CKV jtl: Journal of Pharmacy Practice & Research issn: 1445937X maglogo: N pubinfo: dt: Jun2011 vid: 41 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 62806482 104657196 104657196 10.1002/j.2055-2335.2011.tb00676.x 62806482 ppf: 113 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Medication Prescribing, Surveillance and Safety in Australasian Emergency Departments. aug: au: Marmor, Gerrard O. Braitberg, George Nicolas, Caroline M. affil: Emergency Medicine Registrar, Southern Health sug: subj: Emergency Service Emergency Care Prescribing Patterns Drug Monitoring Medication Errors Prevention and Control Human Questionnaires Emergency Medicine Organizations Australia Descriptive Statistics Qualitative Studies Quantitative Studies Data Analysis Software Time Factors ab: Background: The prescribing practices of the Fellows of the Australasian College of Emergency Medicine (FACEM) in Australasian emergency departments (EDs) are unknown. Aim: To describe the FACEM's prescribing practices in relation to charting and monitoring medications in the ED; and to investigate the differences in the prescribing practices between the users and non-users of the National Inpatient Medication Chart (NIMC) in EDs. Method: Analysis of a multimodal survey sent to FACEM across Australasia. Results: Responses were received from 122 (n = 940) FACEM (13% response rate). 91% of FACEM considered medication safety to be a quality issue. Most FACEM (56%) prescribed on 2 to 3 different documents in the ED and only 39 (32%) prescribed on 1 document. Time pressure was the main barrier to safe prescribing in the ED. Prescribing guidelines for analgesics and antibiotics were often in situ but times to administration were not monitored. 65% of FACEM who used the NIMC tended to prescribe on only 1 document and came from larger EDs that employed an ED pharmacist. Strategies cited to decrease the rate of prescribing errors included educational interventions, ED pharmacists and use of the NIMC. Conclusion: There are a wide range of prescribing and medication safety practices and a lack of conformity among Australian emergency physicians. Despite the introduction of the NIMC, most FACEM prescribed on multiple documents in the ED. The differences between users and non-users of the NIMC identified may aid future initiatives to increase its use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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