Evidence map›Paper›PMID 26289988›Full record

SynthesisBritish journal of clinical pharmacology2015

Which non-technical skills do junior doctors require to prescribe safely? A systematic review.

Effie Dearden, Edward Mellanby, Helen Cameron, Jeni Harden

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Comparison of pharmacy technicians' and doctors' medication transcribing errors at hospital discharge.European journal of hospital pharmacy : science and practice · 2020
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

4 authors.

Effie DeardenCentre for Medical Education, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh.
Edward MellanbyCentre for Medical Education, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh.
Helen CameronCentre for Medical Education, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh.
Jeni HardenCentre for Population Health Sciences, University of Edinburgh, Edinburgh, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPrescribing errors are a major source of avoidable morbidity and mortality. Junior doctors write most in-hospital prescriptions and are the least experienced members of the healthcare team. This puts them at high risk of error and makes them attractive targets for interventions to improve prescription safety. Error analysis has shown a background of complex environments with multiple contributory conditions. Similar conditions in other high risk industries, such as aviation, have led to an increased understanding of so-called human factors and the use of non-technical skills (NTS) training to try to reduce error. To date no research has examined the NTS required for safe prescribing. The aim of this review was to develop a prototype NTS taxonomy for safe prescribing, by junior doctors, in hospital settings.

methodsA systematic search identified 14 studies analyzing prescribing behaviours and errors by junior doctors. Framework analysis was used to extract data from the studies and identify behaviours related to categories of NTS that might be relevant to safe and effective prescribing performance by junior doctors. Categories were derived from existing literature and inductively from the data.

resultsA prototype taxonomy of relevant categories (situational awareness, decision making, communication and team working, and task management) and elements was constructed.

conclusionsThis prototype will form the basis of future work to create a tool that can be used for training and assessment of medical students and junior doctors to reduce prescribing error in the future.

Indexed as

Clinical CompetenceDrug PrescriptionsDecision MakingHumansMedication ErrorsPhysician-Patient RelationsQuality Assurance, Health Caredrug prescriptioneducationhuman factorsinternship and residencynon-technical skillspatient safety

Identifiers

PMID26289988
PMCPMC4693490

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.