noncompliance-with-prescription-writing-requirements-and-prescribing-errors-in-an-outpatient-department

2002 ◽  
Vol 1 (2) ◽  
pp. 45-50
Author(s):  
>Siew Siang Chua ◽  
>Mun Ni Kuan ◽  
>Mohamed Noor Ramli
Keyword(s):  
Outpatient Department ◽  
Prescribing Errors ◽  
Prescription Writing

scholarly journals Medication Errors on a Surgery Service: Addressing the Gap with a Medication Prescribing Curriculum for Surgery Residents

2021 ◽  
Author(s):  
Justine Ring ◽  
Jesse Maracle ◽  
Shannon Zhang ◽  
Michelle Methot ◽  
Boris Zevin
Keyword(s):  
Decision Making ◽  
Curriculum Implementation ◽  
Educational Interventions ◽  
Prescribing Errors ◽  
Academic Hospital ◽  
Implementation Period ◽  
Observational Cohort ◽  
Medication Prescribing ◽  
Academic Year ◽  
Prescription Writing

Abstract Background Medication prescribing errors are a source of morbidity and mortality on surgical wards, however educational interventions with proven effectiveness to reduce these errors are lacking. Our objective was to design, implement, and assess the effectiveness of a curriculum designed to reduce medication prescribing errors on a surgery service at an academic hospital without electronic order entry. Methods This was a prospective observational cohort study at a Canadian academic hospital. A medication prescribing curriculum for surgery residents was developed and implemented in July 2019. All general surgery residents (n = 16) at our institution were eligible; 13 (81%) participated. Medication prescribing errors were tracked pre-curriculum implementation (July 1, 2018-June 30, 2019) and post-curriculum (July 1-December 31, 2019). Medication prescribing errors were classified as prescription-writing (PW) or decision-making (DM). Results There were 87.5 (14.6) total medication prescribing errors per month in the pre-implementation period with 51.3 (11.9) PW and 36.3 (6.0) DM errors. Post-implementation, there were 78.7 (10.3) total errors monthly with 43.3 (9.5) PW and 35.3 (4.2) DM errors. There were significantly fewer total errors monthly in the first quarter (July–September) of the academic year post-curriculum implementation versus pre-implementation (77.7(12.7) vs. 107.3(8.1); p = 0.035) with significantly fewer PW errors monthly (40.7(13.2) vs. 68.7(9.3); p = 0.046) and no difference in DM errors monthly (37.0(2.0) vs. 38.7(5.7); p = 0.671). Conclusions Medication prescribing errors on a surgical service occurred both from prescription-writing and decision-making. Educational interventions, such as our medication prescribing curriculum, can decrease errors related to prescription writing, however the effect appears diminish over time.

scholarly journals Prescription Writing — Best Practices to Reduce Prescribing Errors

MedEdPORTAL ◽  
2014 ◽  
Vol 10 (1) ◽  
Author(s):  
Senthil Rajasekaran ◽  
Levi Hall ◽  
Nelia Afonso
Keyword(s):  
Best Practices ◽  
Prescribing Errors ◽  
Prescription Writing

scholarly journals EVALUATION OF PRESCRIBING INDICATORS AND PRESCRIPTION WRITING AT THE OUTPATIENT DEPARTMENT OF A PEDIATRIC TEACHING HOSPITAL IN LIBYA

2020 ◽  
Vol 8 (12) ◽  
pp. 294-302
Author(s):  
Lina Salama ◽  
◽  
Elzahra Samir Buzariba ◽  
Keyword(s):  
Treatment Duration ◽  
Dosage Form ◽  
Drug Information ◽  
Outpatient Department ◽  
Drug Prescribing ◽  
Prescribing Indicators ◽  
Childrens Hospital ◽  
Recorded Data ◽  
Prescription Writing

Background:Irrational drug prescribing and inappropriate prescription writing have a serious medical and economicimpacton patients and society. Information on pediatric prescribing and quality of prescription writing in Libya are lacking. The aim of this study was to evaluate the extent of rational prescribing using the WHO indicatorsand to assessthe completeness of prescriptions recorded informationat the outpatient department of Benghazi Childrens Hospital. Results:A total of 603 prescriptions were sampled and analyzed. Concerning the prescribing indicators, the average number of medicines per encounter was 1.52, 5.47% of drugs were prescribed by generic name, 20.56% of encounters had at least one antibiotic prescribed, 25.87% of encounters were prescribed one injection or more and 61.27% of the prescribed drugs were from the Essential Drugs List. As regards the completeness of the recorded data on prescriptions, the patients name, gender, age and diagnosis were recorded in 99.34%, 10.78%, 85.74% and 29.85% of prescriptions, respectively. None of the prescriptions included the patients contact details and only 0.66% mentioned the patients weight. Prescribers information such as the name, signature and contact details were present in more than half of prescriptions while only 3.98% were stamped.Medication details like the dosage form, dose and frequency were written for more than 82% of the prescribed drugs whereas the strength and treatment duration were the least recorded drug information, 46.28% and 56.67%, respectively. Conclusion:Some forms of irrational drug prescribing as well as suboptimal recording of prescriptions information were observed at the outpatient department of Benghazi Childrens Hospital.

An Audit to Improve Prescription Writing on Inpatient Medication Cards

2016 ◽  
Vol 33 (S1) ◽  
pp. S437-S437
Author(s):  
H. Parvathaiah ◽  
F.M. Osman ◽  
C. Daly
Keyword(s):  
Prescribing Errors ◽  
Audit Tool ◽  
Clinical Notes ◽  
Complex Process ◽  
Correct Spelling ◽  
Standard Of Practice ◽  
Competing Interest ◽  
Basic Standards ◽  
Common Intervention ◽  
Prescription Writing

BackgroundThe most common intervention performed by physicians is the writing of a prescription. All elements in the complex process of prescribing and administering drugs are susceptible to error.AimsTo measure the extent to which information recorded on prescription cards conforms to basic standards of prescription writing.To improve prescribing, recording and staff knowledge.To identify common prescribing errors and focus on the same to improve our standard of practice.MethodsAn audit tool was designed to collect data and standard was set 100%.ResultsIn the initial audit, there was significant deficiency in prescription writing, which was presented at the internal teaching to all doctors and recommendations were made. This audit was repeated after a month, which showed improvement in prescription writing and recording.RecommendationsWrite all drugs in CAPITALS ensuring correct spelling, dose, route of administration and frequency.Complete all fields on front of the prescription card legibly.Document any change in prescription card in clinical notes.All doctors to go through their current clients medication cards and ensure any gaps filled and errors corrected.Audit report will be kept in audit folder as a reference for any rotating doctor to repeat the audit every six months in the services.ConclusionDoctors should continue to improve prescription writing and reduce any adverse events or errors.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Study on the effectiveness of orientation class about rational prescription on interns

2016 ◽  
Vol 6 (1) ◽  
pp. 89
Author(s):  
Reema T. Thottol ◽  
Anuradha M. ◽  
Sajna M. V.
Keyword(s):  
Hospital Setting ◽  
P Value ◽  
Junior Doctors ◽  
Prescribing Errors ◽  
Case Scenario ◽  
Orientation Course ◽  
Post Test ◽  
Orientation Class ◽  
Prescription Writing

Background: Prescribing is one aspect of patient care where it is possible to do considerable harm if not done judiciously. The first experience of unsupervised prescribing begins during the internship year. Junior doctors are the most frequent prescribers in the hospital setting and are reported to make most of the prescribing errors. The Objective of the study was to study on the effectiveness of orientation class about rational prescription on interns.Methods: Sample size was 100 students attending orientation course at the beginning of intern ship. This study was done in Government Medical College Kozhikode, after getting ethics Committee approval. Total of 100 interns were included in the study. Pre-test was conducted to assess the prescribing skills by giving one case scenario, followed by a class on rational prescription writing. 14 questionnaires are made and prescription quality is assessed. Post-test was given after 2 weeks where the same previous case scenario repeated.Results: This study shows that orientation class about rational prescription during the beginning of internship improves the quality of prescription writing. Among the 14 parameters made for assessment of quality of prescription thirteen shows significant P value. So it is very effective to take orientation class about rational prescription during the internship period.Conclusions: It is very effective to take orientation class about rational prescription and periodic updating during the internship period improves the quality of prescription. As they learn the basics of prescription writing during their third semester only. Thus we can reduce the prescribing errors.

A Computerized Prescription Writing Program for Doctors

1985 ◽  
Vol 24 (02) ◽  
pp. 101-105
Author(s):  
C. S. Brown ◽  
S. I. Allen ◽  
D. C. Songco
Keyword(s):  
Medical Record ◽  
Drug Prescriptions ◽  
Computer Assisted ◽  
Writing Program ◽  
Typing Skill ◽  
Drug Products ◽  
Default Options ◽  
Almost All ◽  
Prescription Writing ◽  
Drug Dosages

SummaryA computer-assisted system designed to write drug prescriptions and patient instructions has been in operation in a dermatologist’s office for two years. Almost all prescriptions are generated by the machine. Drug dosages, directions, and labeling phrases are retrieved from a diagnosis-oriented formulary of 300 drug products. A prescription template with preselected default options is displayed on a terminal screen where selection is made with the use of the video pointer. Typing skill is not required, as a detailed prescription can be produced from the use of only five function keys. Prescriptions and sets of relevant instructions for the patient are computer-printed. Therapy summaries for the medical record also are automatically composed and printed.

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