Study of prescribing errors of two different prescription systems: pre-printed prescription from historical medication and hand-written prescription

Q4 Pharmacology, Toxicology and Pharmaceutics

Pharmaceutical Sciences Asia Pub Date : 2022-01-01 DOI:10.29090/psa.2022.06.22.141

N. Sae-lim, Ploylarp Lertvipapath

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Abstract

A retrospective observational study of 1,160 prescriptions with prescribing errors from a large academic hospital in Thailand from 2014 to 2017. The aims of this study are to explore the proportion of prescribing error from pre-printed prescriptions and measure the frequency of prescribing errors in pre-printed versus hand-written prescriptions. Prescriptions with prescribing errors were stratified sampling and bootstrap resampling, then classified into 1) pre-printed historical medication prescriptions or pre-printed prescriptions 2) hand-written prescriptions. Some missed prescribing errors of each type of prescription were more identified by comparing the prescriptions with the medical records. Pre-printed prescriptions with prescribing errors constituted 767 (66%) of all collected prescriptions. The most commonly encountered prescribing error was “incomplete medication list in medical record”, while 393 (34%) hand-written prescriptions were found to have the wrong dosage strength. Hand-written prescriptions were 1.45 times more likely to have a major error compared to pre-printed prescriptions (OR: 1.45, 95%CI: 1.08-1.94, P 0.012). Although using pre-printed prescription can reduce some prescribing errors such as wrong dosage strength that occur with hand-written prescriptions, pre-printed prescriptions were found to have other prescribing errors. Procedures to improve the prescribing system to increase patient safety are needed.

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历史用药预印处方和手写处方两种不同处方制度的处方错误研究

回顾性观察研究泰国某大型学术医院2014 - 2017年处方错误处方1160张。本研究的目的是探讨预印处方的处方错误比例，并测量预印处方与手写处方的处方错误频率。对处方有误的处方进行分层抽样和自举重抽样，将处方分为预印历史用药处方和预印处方2手写处方。通过对比处方与病历，更能识别出各类处方的一些漏开错误。处方错误的预印处方占收集处方的767张(66%)。最常见的处方错误是“病历中用药清单不完整”，393张(34%)手写处方存在剂量强度错误。手写处方出现重大错误的可能性是预印处方的1.45倍(OR: 1.45, 95%CI: 1.08-1.94, P 0.012)。虽然使用预印处方可以减少一些处方错误，如手写处方出现的剂量强度错误，但预印处方也存在其他处方错误。需要改进处方系统以提高患者安全的程序。

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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来源期刊

Pharmaceutical Sciences Asia Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： The Pharmaceutical Sciences Asia (PSA) journal is a double-blinded peer-reviewed journal in English published quarterly, by the Faculty of Pharmacy, Mahidol University, Thailand. The PSA journal is formerly known as Mahidol University Journal of Pharmaceutical Sciences and committed to the timely publication of innovative articles and reviews. This journal is available in both printed and electronic formats. The PSA journal aims at establishing a publishing house that is open to all. It aims to disseminate knowledge; provide a learned reference in the field; and establish channels of communication between academic and research expert, policy makers and executives in industry and investment institutions. The journal publishes research articles, review articles, and scientific commentaries on all aspects of the pharmaceutical sciences and multidisciplinary field in health professions and medicine. More specifically, the journal publishes research on all areas of pharmaceutical sciences and related disciplines: Clinical Pharmacy Drug Synthesis and Discovery Targeted-Drug Delivery Pharmaceutics Biopharmaceutical Sciences Phytopharmaceutical Sciences Pharmacology and Toxicology Pharmaceutical Chemistry Nutraceuticals and Functional Foods Natural Products Social, Economic, and Administrative Pharmacy Clinical Drug Evaluation and Drug Policy Making Antimicrobials, Resistance and Infection Control Pharmacokinetics and Pharmacodynamics.