ReviewBMJ quality & safety2017
Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.
Review in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- "It's helpful to get the time and opportunity to discuss drug treatment; that's what I think is the most important thing."-A qualitative study on prescribing education in junior physicians.European journal of clinical pharmacology · 2020Trial
- Article
- Development and implementation of medication-related clinical rules for obstetrics, gynaecology, and paediatric outpatients.European journal of hospital pharmacy : science and practice · 2024Article
- Evaluation of prescriptions from tertiary care hospitals across India for deviations from treatment guidelines & their potential consequences.The Indian journal of medical research · 2024Observational
- Can a novel constructivist theory-informed feedback intervention reduce prescribing errors ? A pre-post study.BMC medical education · 2023Article
- Article
- Assessment of prescribing errors reported by community pharmacy professionals.Journal of pharmaceutical policy and practice · 2022Article
- The frequency and nature of prescribing problems by GPs-in-training (REVISiT): a retrospective review.BJGP open · 2022Article
- Reducing Pediatric Emergency Department Prescription Errors.Pediatrics · 2022Article
- Beyond consumption: a qualitative investigation of hospital clinician attitudes to receiving feedback on antimicrobial prescribing quality.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Improving junior doctor medicine prescribing and patient safety: An intervention using personalised, structured, video-enhanced feedback and deliberate practice.British journal of clinical pharmacology · 2020Article
- Speaking up behavior and cognitive bias in hand hygiene: Competences of German-speaking medical students.PloS one · 2020Article
- Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation.British journal of clinical pharmacology · 2019Article
- Medication errors in emergency departments: is electronic medical record an effective barrier?Einstein (Sao Paulo, Brazil) · 2019Article
- Exploring the impact of feedback on prescribing error rates: a pilot study.International journal of clinical pharmacy · 2017Article
- The Effect of Medical Recording Training on Quantity and Quality of Recording in Gynecology Residents of Tabriz University of Medical Sciences.Journal of caring sciences · 2017Article
- A Technological Innovation to Reduce Prescribing Errors Based on Implementation Intentions: The Acceptability and Feasibility of MyPrescribe.JMIR human factors · 2017Article
- Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial.BMJ open · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrescribing errors occur in up to 15% of UK inpatient medication orders. However, junior doctors report insufficient feedback on errors. A barrier preventing feedback is that individual prescribers often cannot be clearly identified on prescribing documentation.
aimTo reduce prescribing errors in a UK hospital by improving feedback on prescribing errors.
interventionsWe developed three linked interventions using plan-do-study-act cycles: (1) name stamps for junior doctors who were encouraged to stamp or write their name clearly when prescribing; (2) principles of effective feedback to support pharmacists to provide feedback to doctors on individual prescribing errors and (3) fortnightly prescribing advice emails that addressed a common and/or serious error. IMPLEMENTATION AND EVALUATION: Interventions were introduced at one hospital site in August 2013 with a second acting as control. Process measures included the percentage of inpatient medication orders for which junior doctors stated their name. Outcome measures were junior doctors' and pharmacists' perceptions of current feedback provision (evaluated using quantitative pre-questionnaires and post-questionnaires and qualitative focus groups) and the prevalence of erroneous medication orders written by junior doctors between August and December 2013.
resultsThe percentage of medication orders for which junior doctors stated their name increased from about 10% to 50%. Questionnaire responses revealed a significant improvement in pharmacists' perceptions but no significant change for doctors. Focus group findings suggested increased doctor engagement with safe prescribing. Interrupted time series analysis showed no difference in weekly prescribing error rates between baseline and intervention periods, compared with the control site.
conclusionFindings suggest improved experiences around feedback. However, attempts to produce a measurable reduction in prescribing errors are likely to need a multifaceted approach of which feedback should form part.
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Registered trials
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