Evidence map›Paper›PMID 19094162›Full record

SynthesisBritish journal of clinical pharmacology2009

What is the scale of prescribing errors committed by junior doctors? A systematic review.

Sarah Ross, Christine Bond, Helen Rothnie, Sian Thomas, Mary Joan Macleod

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. Does formative assessment help students to acquire prescribing skills?European journal of clinical pharmacology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sarah RossDepartment of Medicine and Therapeutics, University of Aberdeen, Aberdeen, UK. s.ross@abdn.ac.uk
Christine Bond
Helen Rothnie
Sian Thomas
Mary Joan Macleod

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPrescribing errors are an important cause of patient safety incidents, generally considered to be made more frequently by junior doctors, but prevalence and causality are unclear. In order to inform the design of an educational intervention, a systematic review of the literature on prescribing errors made by junior doctors was undertaken.

methodsSearches were undertaken using the following databases: MEDLINE; EMBASE; Science and Social Sciences Citation Index; CINAHL; Health Management Information Consortium; PsychINFO; ISI Proceedings; The Proceedings of the British Pharmacological Society; Cochrane Library; National Research Register; Current Controlled Trials; and Index to Theses. Studies were selected if they reported prescribing errors committed by junior doctors in primary or secondary care, were in English, published since 1990 and undertaken in Western Europe, North America or Australasia.

resultsTwenty-four studies meeting the inclusion criteria were identified. The range of error rates was 2-514 per 1000 items prescribed and 4.2-82% of patients or charts reviewed. Considerable variation was seen in design, methods, error definitions and error rates reported.

conclusionsThe review reveals a widespread problem that does not appear to be associated with different training models, healthcare systems or infrastructure. There was a range of designs, methods, error definitions and error rates, making meaningful conclusions difficult. No definitive study of prescribing errors has yet been conducted, and is urgently needed to provide reliable baseline data for interventions aimed at reducing errors. It is vital that future research is well constructed and generalizable using standard definitions and methods.

Indexed as

Clinical CompetenceDrug PrescriptionsHumansMedical Staff, HospitalMedication ErrorsRandomized Controlled Trials as Topic

Identifiers

PMID19094162
PMCPMC2723201

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.