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Related Experiment Videos

Ward pharmacy: a foundation for prescribing audit?

R Batty1, N Barber

  • 1Northwick Park Hospital, Harrow, Middlesex.

Quality in Health Care : QHC
|February 8, 1992
PubMed
Summary

Hospital pharmacists actively monitor prescriptions, with most interventions focusing on drug dosage and frequency. A new performance indicator (incidents/100 beds/week) aids in comparing and auditing pharmacist activities across hospitals.

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Area of Science:

  • Pharmaceutical Sciences
  • Health Services Research

Background:

  • Hospital pharmacists play a crucial role in ensuring medication safety and optimizing therapeutic outcomes.
  • Effective prescription monitoring is essential for identifying and rectifying potential medication errors.

Purpose of the Study:

  • To quantify the extent and nature of prescription monitoring incidents identified by hospital pharmacists.
  • To develop a standardized performance indicator for comparing prescription monitoring activities across different hospitals.

Main Methods:

  • A survey was conducted over one week in June 1990, collecting self-recorded data on prescription monitoring incidents.
  • The study included all 31 acute hospitals in the North West Thames region, encompassing 10,337 beds and 210 pharmacists.
  • Data collected included the number, nature, and outcome of incidents, alongside a performance indicator (incidents per 100 beds per week).

Main Results:

  • A total of 3273 prescription monitoring incidents were recorded, with the most frequent issues relating to drug dosage and administration frequency (29%).
  • Pharmacist interventions led to prescription alterations in 1611 cases, with 81 instances where advice was rejected.
  • The performance indicator varied significantly by specialty (highest in intensive therapy units) and across sites, showing a 20-fold difference.

Conclusions:

  • Hospital pharmacists significantly contribute to improving prescribing practices, with interventions often addressing fundamental prescribing elements.
  • The developed performance indicator (incidents/100 beds/week) is a valuable tool for auditing and comparing the prescription monitoring activities of hospital pharmacists.
  • Pharmacists are integral to medical audit processes, collaborating with clinicians to identify prescribing issues and establish monitoring standards.

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