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Related Experiment Videos

What is a prescribing error?

B Dean1, N Barber, M Schachter

  • 1Academic Pharmacy Unit, Hammersmith Hospitals NHS Trust, London W12 0HS. bryony@cua.ulsop.ac.uk

Quality in Health Care : QHC
|December 12, 2000
PubMed
Summary
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Healthcare professionals reached a consensus on a definition for prescribing errors. This standardized definition aids in comparing prescribing error rates across different healthcare systems and settings.

Area of Science:

  • Medical error research
  • Patient safety
  • Health informatics

Background:

  • Prescribing errors are a significant concern in healthcare, impacting patient safety and treatment efficacy.
  • A lack of a standardized definition hinders accurate quantitative studies on prescribing error incidence.
  • Previous definitions were not universally accepted or practical for research applications.

Purpose of the Study:

  • To establish a practitioner-led, consensus-based definition of a prescribing error.
  • To create a definition suitable for quantitative research on prescribing error incidence.
  • To provide clear guidance for identifying and categorizing prescribing errors in clinical practice.

Main Methods:

  • A two-stage Delphi technique was employed.

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  • A diverse panel of 34 UK healthcare professionals (physicians, surgeons, pharmacists, nurses, risk managers) participated.
  • Judges evaluated a general definition and 42 specific scenarios for their inclusion as prescribing errors.

    • Main Results:

    • High response rates were achieved in both Delphi rounds (88% and 87%).
    • A general definition of prescribing error was accepted by the panel.
    • Consensus was reached to include 24 scenarios and exclude 5, identifying transcription errors, communication failures, and inappropriate drug/dose use as key prescribing errors, while excluding deviations from guidelines.

    Conclusions:

    • Broad agreement exists among healthcare professionals on what constitutes a prescribing error.
    • A robust, consensus-driven definition of prescribing errors has been developed.
    • This definition facilitates standardized comparison of prescribing error rates and supports research and clinical governance.