Evidence map›Paper›PMID 31157036›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2018

Junior doctors' communication with hospital pharmacists about prescribing: findings from a qualitative interview study.

David Rhys Axon, Rosemary Hwee Mei Lim, Penny J Lewis, Sarena Sandher, Jenna Thondee, Karen Edwards, Rachel L Howard

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Article in European journal of hospital pharmacy : science and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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8citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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  7. Junior doctors' communication with hospital pharmacists about prescribing.European journal of hospital pharmacy : science and practice · 2018
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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

7 authors.

David Rhys AxonDepartment of Pharmacy Practice and Science, The University of Arizona College of Pharmacy, Tucson, Arizona, USA.ORCID 0000-0002-9903-5996
Rosemary Hwee Mei LimReading School of Pharmacy, University of Reading, Reading, UK.
Penny J LewisDivision of Pharmacy and Optometry, School of Health Sciences, The University of Manchester, Manchester, UK.ORCID 0000-0002-3976-5807
Sarena SandherReading School of Pharmacy, University of Reading, Reading, UK.
Jenna ThondeeReading School of Pharmacy, University of Reading, Reading, UK.
Karen EdwardsFrimley Health NHS Foundation Trust, Frimley, UK.
Rachel L HowardReading School of Pharmacy, University of Reading, Reading, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore factors affecting communication between Foundation Year (FY) 1 doctors and hospital pharmacists about prescribing from the junior doctors' perspective.

methodsTrained interviewers (n=4) conducted semistructured interviews with FY1 doctors who were purposively sampled from three hospitals in England. FY1 doctors were asked about their experiences of communication with hospital pharmacists about their prescribing; instances where they disagreed with or did not implement a hospital pharmacist's recommendation; and their preferences for communicating with hospital pharmacists about prescribing. Interviews were audiorecorded, transcribed verbatim and analysed thematically.

resultsA total of 27 FY1 doctors were interviewed. Findings were categorised into four main themes: (1) nature and context of communication; (2) FY1 doctors' perceptions of communication with hospital pharmacists; (3) factors influencing FY1 doctors' decision whether to act on pharmacists' prescribing recommendations; and (4) suggestions to improve communication with pharmacists. FY1 doctors and hospital pharmacists generally communicated well. FY1 doctors appreciated and frequently acted on pharmacists' advice yet there was deference to senior medical staff when advice differed. Joint ward rounds, pharmacist-led teaching sessions and a standardised approach to communication were all suggested as ways to improve communication and may increase the likelihood of pharmacists' recommendations being acted on.

conclusionsFY1 doctors and hospital pharmacists communicated frequently about medication prescribing. Issues occurred when there were differences in professional judgement between senior medical staff and pharmacists but these were usually resolved satisfactorily for the FY1 doctor. Further interventions to improve communication and safe prescribing could involve a multidisciplinary and systems approach.

Indexed as

communicationhospital pharmacistsjunior doctorsmedication safetyprescribing errors

Identifiers

PMID31157036
PMCPMC6452366

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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.