Evidence map›Paper›PMID 25964139›Full record

ArticleInternational journal of clinical pharmacy2015

Development and evaluation of a pocket card to support prescribing by junior doctors in an English hospital.

Matthew Reynolds, Elina Larsson, Richard Hewitt, Sara Garfield, Bryony Dean Franklin

Abstract readEvaluation Study
In one paragraph

Article in International journal of clinical pharmacy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Matthew ReynoldsCentre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust and UCL School of Pharmacy, London, UK. matthew.reynolds@nhs.net.
Elina LarssonCentre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust and UCL School of Pharmacy, London, UK.
Richard HewittNorth West Thames Foundation School, London, UK.
Sara GarfieldCentre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust and UCL School of Pharmacy, London, UK.
Bryony Dean FranklinCentre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust and UCL School of Pharmacy, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJunior doctors do most inpatient prescribing, with a relatively high error rate, and locally had reported finding prescribing very stressful.

objectiveTo develop an intervention to improve Foundation Year 1 (FY1) doctors' experience of prescribing, and evaluate their satisfaction with the intervention and perceptions of its impact.

methodsBased on findings of a focus group and questionnaire, we developed a pocket Dose Reference Card ("Dr-Card") for use at the point of prescribing. This summarised common drugs and dosing schedules and was distributed to all new FY1 doctors in a London teaching trust. A post-intervention questionnaire explored satisfaction and perceived impact.

resultsFocus group participants (n = 12) described feeling anxious and time pressured when prescribing; a quick reference resource for commonly prescribed drug doses was suggested. Responses to the exploratory questionnaire reinforced these findings. Following Dr-Card distribution, the post-intervention questionnaire revealed that 29/38 (76 %) doctors were still using it 2 months after distribution and 38/38 (100%) would recommend ongoing production.

conclusionsFY1 doctors reported feeling stressed and time pressured when prescribing; this was perceived to contribute to error. A pocket card presenting common drugs and doses was well-received, perceived to be useful, and recommended for on-going use.

Indexed as

Attitude of Health PersonnelClinical CompetenceDrug PrescriptionsInternship and ResidencyMedical Staff, HospitalEnglandFemaleFocus GroupsHumansMaleMedication ErrorsErrorsJunior doctorMedicationPrescribingReference sourceSafetyUnited Kingdom

Identifiers

PMID25964139
PMCPMC4594081

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Registered trials

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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.