Reducing Prescribing Errors in Paediatric Patients by Assessment and Feedback Targeted at Prescribers | Zendy

Michael Eisenhut | Zendy; Blanche Sun | Zendy; Sarah Skinner | Zendy

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Reducing Prescribing Errors in Paediatric Patients by Assessment and Feedback Targeted at Prescribers

Author(s) -

Michael Eisenhut,

Blanche Sun,

Sarah Skinner

Publication year - 2011

Publication title -

isrn pediatrics

Language(s) - English

Resource type - Journals

eISSN - 2090-4703

pISSN - 2090-469X

DOI - 10.5402/2011/545681

Subject(s) - medicine , audit , intervention (counseling) , emergency medicine , pediatrics , test (biology) , medical emergency , family medicine , nursing , paleontology , management , economics , biology

Prescribing errors are the most common type of medical errors and can result in harm particularly in young children. Doctors were enrolled in a programme of written assessment in prescribing skills and individualized feedback. Pharmacists audited the impact. The setting was the paediatric wards and neonatal unit of a District General Hospital. 16 doctors were tested and received feedback. A total of 110 errors were identified in this test, out of a 51 were classified as major including wrong dose and frequency, and prescribing medication the patient had an allergy to. Audit of impact of this intervention revealed a reduction of errors from 47 to 21, and patients affected from 19 to 11 per 100 ( P = 0.001) emergency admissions compared to an audit before the intervention. An intervention combining a comprehensive multifaceted assessment and detailed feedback can lead to reduction of prescribing errors in paediatric trainees.

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