Reducing prescribing errors in paediatric patients by assessment and feedback targeted at prescribers.

ISRN pediatrics Pub Date : 2011-01-01 Epub Date: 2011-09-20 DOI:10.5402/2011/545681
Michael Eisenhut, Blanche Sun, Sarah Skinner
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引用次数: 11

Abstract

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.

通过针对处方者的评估和反馈减少儿科患者的处方错误。
处方错误是最常见的医疗错误类型,可导致伤害,特别是在幼儿中。医生们参加了一个关于处方技巧和个性化反馈的书面评估项目。药剂师审核了影响。实验地点是一家地区综合医院的儿科病房和新生儿病房,对16名医生进行了测试并收到了反馈。在这项测试中,总共发现了110个错误,其中51个被归类为主要错误,包括错误的剂量和频率,以及患者过敏的药物处方。对该干预措施影响的审计显示,与干预前的审计相比,差错从47例减少到21例,每100例急诊入院患者中受影响的患者从19例减少到11例(P = 0.001)。综合多方面评估和详细反馈相结合的干预措施可以减少儿科培训生的处方错误。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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