Evidence map›Paper›PMID 28698975›Full record

ArticleInternational journal of clinical pharmacy2017

Exploring the impact of feedback on prescribing error rates: a pilot study.

Michael Lloyd, Simon David Watmough, Sarah Victoria O'Brien, Kevin Hardy, Niall Furlong

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Article in International journal of clinical pharmacy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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.

Michael LloydPharmacy Department, St. Helens and Knowsley Teaching Hospitals NHS Trust, Whiston, Merseyside, L35 5DR, UK. michael.lloyd@sthk.nhs.uk.ORCID http://orcid.org/0000-0002-0619-7540
Simon David WatmoughPostgraduate Professional Development, Faculty of Health and Social Care, Edge Hill University, Ormskirk, L39 4QP, UK.
Sarah Victoria O'BrienSt. Helens CCG, St. Helens Chambers, St. Helens, Merseyside, WA10 1YF, UK.
Kevin HardySt. Helens and Knowsley Teaching Hospitals NHS Trust, Whiston, Merseyside, L35 5DR, UK.
Niall FurlongSt. Helens and Knowsley Teaching Hospitals NHS Trust, Whiston, Merseyside, L35 5DR, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Prescribing errors are prevalent in hospital settings with feedback identified as one potential error reduction strategy. Hospital pharmacists work alongside prescribers at ward level and are credible facilitators of prescribing error feedback. A formalised programme of pharmacist-led prescribing error feedback was designed and implemented Objective To determine the impact of the feedback intervention on prescribing error rates. Method Prospective prescribing audits were undertaken at baseline for control (n = 11) and intervention group (n = 10) prescribers. The intervention group received pharmacist-led, individualised constructive feedback on their prescribing, whilst the control group continued with existing practice. Prescribing was re-audited following 3-months of the intervention. Data were analysed using chi-squared and independent t-tests. Results Error frequency (123/641 intervention and 121/649 control) was comparable between groups at baseline (p = 0.819) with significant differences (90/1677 intervention and 236/984 control) post intervention (p = <0.005). Prescribing error rates were lower in the intervention group (mean change of -11.5%) and higher in the control group (mean change of +5.9%) following the intervention, with a mean significant difference of 17.4% (SD 4.7, 95% CI, -27.3 to -7.6), t = -3.694, p < 0.05, between groups. Conclusion Pharmacist-led prescribing error feedback positively influences prescribing. This intervention shows promise for wider application in hospital settings to optimise patient safety.

Indexed as

Attitude of Health PersonnelFeedback, PsychologicalDrug PrescriptionsFemaleHumansMaleMedication ErrorsPharmacistsPharmacy Service, HospitalPhysiciansPilot ProjectsProspective StudiesFeedbackPharmacistPrescriberPrescribing errorReductionUnited Kingdom

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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.