ArticleBMC health services research2019
Prescribing errors in electronic prescriptions for outpatients intercepted by pharmacists and the impact of prescribing workload on error rate in a Chinese tertiary-care women and children's hospital.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 26 citations in OpenAlex.
- Factors contributing to medication safety incidents observed by community pharmacists - a content analysis of incident reports.Exploratory research in clinical and social pharmacy · 2026Article
- External prescription circulation and chronic medication refills via internet hospital: a real-world study of patient characteristics in eastern China.Frontiers in public health · 2026Article
- Burnout, depression, and medication errors among family physicians.Scientific reports · 2025Article
- Healthcare professionals' perceptions of electronic prescription systems in outpatient services: a qualitative study at UNS hospital.Cost effectiveness and resource allocation : C/E · 2025Article
- The Role of Pharmacists in Minimizing the Risk Inherent in Unbundled Telehealth Services: A 12-Month Retrospective Case Study.Pharmacy (Basel, Switzerland) · 2024Article
- Development and implementation of medication-related clinical rules for obstetrics, gynaecology, and paediatric outpatients.European journal of hospital pharmacy : science and practice · 2024Article
- Pharmacists' interventions on prescribing errors in Malaysia.Journal of pharmaceutical policy and practice · 2024Article
- Prevalence, Scope and Quality of Extemporaneous Medications in Selected Healthcare Facilities and Implications for Pharmacy Practice.Innovations in pharmacy · 2024Article
- Job satisfaction among health professionals in a District of North West province, South Africa.Health SA = SA Gesondheid · 2023Article
- Effect of Pharmacist-Led Interventions on Physicians' Prescribing for Pediatric Outpatients.Healthcare (Basel, Switzerland) · 2022Article
- The effect of a decision support system on the incidence of prescription errors in a PICU.Journal of clinical pharmacy and therapeutics · 2022Observational
- Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.BMC health services research · 2021Article
- Drug-Related Problems in Prescribing for Pediatric Outpatients in Vietnam.Healthcare (Basel, Switzerland) · 2021Article
- The Double Burden of the COVID-19 Pandemic and Polypharmacy on Geriatric Population - Public Health Implications.Therapeutics and clinical risk management · 2020Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrescribing errors may, influenced by some risk factors, cause adverse drug events. Most studies in this field focus on errors in prescriptions for hospital inpatients, with only a few on those for outpatients. Our study aimed to explore the incidence of prescribing errors in electronic prescriptions and illustrate the trend of prescribing workload and error rate over time.
methodsThe cross-section study was performed between September, 2015 and November, 2015. Prescribing errors were intercepted by pharmacists using a prescription reviewing system under which prescriptions with errors were transferred to a specific computer and recorded by another pharmacist and the incidence of total prescribing errors and severe errors was then calculated. A subgroup analysis was conducted in accordance to the number of drug orders, the age group of patients, the seniority of physicians, the specialty of physicians, the working day when prescriptions were issued, and the prescribing workload of physicians. A time-series analysis was employed to analyze the trend of prescribing workload and error rate, and the correlation between them.
resultsTotally, 65,407 patients were included in this study and 150,611 prescriptions with 294,564 drug orders (including 584 different drugs) were reviewed for identification of errors. A total of 534 prescribing errors (an error rate of 0.34%) were identified. Severe errors accounted for 13.62% of total errors. The subgroup analysis showed prescriptions of multiple drug orders, for pediatric patients aged 29 days to 12 years, from physicians specializing in ophthalmology and otorhinolaryngology, or prescribing on weekdays were more susceptible to errors. A time-series analysis demonstrated no correlation between prescribing workload and error rate which increased at the end of each working shift while prescribing workload decreased.
conclusionLess than 1% of the studied prescriptions came with errors among which one in seven were severe ones. But prescribing errors were in no relation to workloads. What's more, further studies are needed to investigate pharmacist-led intervention to reduce prescribing errors.
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