ArticleBritish journal of clinical pharmacology2020
Improving junior doctor medicine prescribing and patient safety: An intervention using personalised, structured, video-enhanced feedback and deliberate practice.
Article in British journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Formative feedback to improve pharmacology learning: Proposed principles and guidelines for effective practice.British journal of clinical pharmacology · 2026Guideline
- Advancing the safe motherhood initiative: A qualitative and sentiment analysis of local physician's perspectives on antibiotic self-medication during pregnancy in a low- and middle-income country.PLOS global public health · 2025Article
- Reducing trainee mistakes. Better performance with changing to a high-fidelity simulation system?AJOG global reports · 2024Article
- Confidence in Prescribing Practices: Perspectives of Senior Medical Students and Recent Graduates at Qatar University.Advances in medical education and practice · 2024Article
- Evaluating the UK's first national prescribing assessment for GPs in training using an online survey.BJGP open · 2023Article
- Can a novel constructivist theory-informed feedback intervention reduce prescribing errors ? A pre-post study.BMC medical education · 2023Article
- Article
- Professional qualifications of medical affairs pharmaceutical physicians and other internal stakeholders in the pharmaceutical industry.F1000Research · 2022Article
- Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.Diagnosis (Berlin, Germany) · 2021Article
- 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
- Assessment of prescription writing skills among dental house officers: A multi-center study.Pakistan journal of medical sciencesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 1 country.
Funding
Abstract
aimsThis research investigated the effectiveness of an intervention for improving the prescribing and patient safety behaviour among Foundation Year doctors. The intervention consisted of simulated clinical encounters with subsequent personalised, structured, video-enhanced feedback and deliberate practice, undertaken at the start of four-month sub-specialty rotations.
methodsThree prospective, non-randomised control intervention studies were conducted, within two secondary care NHS Trusts in England. The primary outcome measure, error rate per prescriber, was calculated using daily prescribing data. Prescribers were grouped to enable a comparison between experimental and control conditions using regression analysis. A break-even analysis evaluated cost-effectiveness.
resultsThere was no significant difference in error rates of novice prescribers who received the intervention when compared with those of experienced prescribers. Novice prescribers not participating in the intervention had significantly higher error rates (P = .026, 95% confidence interval [CI] Wald 0.093 to 1.436; P = .026, 95% CI 0.031 to 0.397) and patients seen by them experienced significantly higher prescribing error rates (P = .007, 95% CI 0.025 to 0.157). Conversely, patients seen by the novice prescribers who received the intervention experienced a significantly lower rate of significant errors compared to patients seen by the experienced prescribers (P = .04, 95% CI -0.068 to -0.001). The break-even analysis demonstrates cost-effectiveness for the intervention.
conclusionSimulated clinical encounters using personalised, structured, video-enhanced feedback and deliberate practice improves the prescribing and patient safety behaviour of Foundation Year doctors. The intervention is cost-effective with potential to reduce avoidable harm.
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Registered trials
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.