ArticleJournal of basic and clinical pharmacy2013
Assessment of the knowledge and attitudes of intern doctors to medication prescribing errors in a Nigeria tertiary hospital.
Article in Journal of basic and clinical pharmacy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Healthcare professionals' level of medication knowledge in Africa: a systematic review.British journal of clinical pharmacology · 2018Pooled it
- The effect of human resource management on performance in hospitals in Sub-Saharan Africa: a systematic literature review.Human resources for health · 2018Pooled it
- Use of an e-Learning Educational Module to Better Equip Doctors to Prescribe for Older Patients: A Randomised Controlled Trial.Drugs & aging · 2017Trial
- Dose adjustment of rheumatology and allergy/immunology medications in chronic kidney disease: awareness and knowledge among internal medicine housestaff.Proceedings (Baylor University. Medical Center) · 2023Article
- Predictors of antibiotic prescriptions: a knowledge, attitude and practice survey among physicians in tertiary hospitals in Nigeria.Antimicrobial resistance and infection control · 2021Article
- Adherence to prescription-writing guidelines for outpatients in Southern Gauteng district hospitals.African journal of primary health care & family medicine · 2020Article
- Adverse Drug Events and Medication Errors in African Hospitals: A Systematic Review.Drugs - real world outcomes · 2018Review
- Social and professional influences on antimicrobial prescribing for doctors-in-training: a realist review.The Journal of antimicrobial chemotherapy · 2017Review
- Prevalence and pattern of prescription errors in a Nigerian kidney hospital.Ghana medical journal · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextJunior doctors are reported to make most of the prescribing errors in the hospital setting.
aimsThe aim of the following study is to determine the knowledge intern doctors have about prescribing errors and circumstances contributing to making them. SETTINGS AND
designA structured questionnaire was distributed to intern doctors in National Hospital Abuja Nigeria. SUBJECTS AND
methodsRespondents gave information about their experience with prescribing medicines, the extent to which they agreed with the definition of a clinically meaningful prescribing error and events that constituted such. Their experience with prescribing certain categories of medicines was also sought. STATISTICAL ANALYSIS USED: Data was analyzed with Statistical Package for the Social Sciences (SPSS) software version 17 (SPSS Inc Chicago, Ill, USA). Chi-squared analysis contrasted differences in proportions; P < 0.05 was considered to be statistically significant.
resultsThe response rate was 90.9% and 27 (90%) had <1 year of prescribing experience. 17 (56.7%) respondents totally agreed with the definition of a clinically meaningful prescribing error. Most common reasons for prescribing mistakes were a failure to check prescriptions with a reference source (14, 25.5%) and failure to check for adverse drug interactions (14, 25.5%). Omitting some essential information such as duration of therapy (13, 20%), patient age (14, 21.5%) and dosage errors (14, 21.5%) were the most common types of prescribing errors made. Respondents considered workload (23, 76.7%), multitasking (19, 63.3%), rushing (18, 60.0%) and tiredness/stress (16, 53.3%) as important factors contributing to prescribing errors. Interns were least confident prescribing antibiotics (12, 25.5%), opioid analgesics (12, 25.5%) cytotoxics (10, 21.3%) and antipsychotics (9, 19.1%) unsupervised.
conclusionsRespondents seemed to have a low awareness of making prescribing errors. Principles of rational prescribing and events that constitute prescribing errors should be taught in the practice setting.
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