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Related Experiment Videos

Error reduction: academic detailing as a method to reduce incorrect prescriptions.

J Shaw1, P Harris, G Keogh

  • 1Department of Clinical Training, Prince of Wales Hospital, NSW 2031 Randwick, Australia.

European Journal of Clinical Pharmacology
|October 21, 2003
PubMed
Summary

Academic detailing significantly reduced prescription errors for addictive drugs in hospitals. This intervention improved accuracy and junior doctors' confidence in prescribing these medications.

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Area of Science:

  • Pharmacology
  • Medical Education
  • Health Services Research

Background:

  • Prescribing addictive drugs requires specific details to prevent errors.
  • Prescription errors lead to wasted time for healthcare professionals.

Purpose of the Study:

  • To evaluate the effectiveness of academic detailing in reducing prescription errors for addictive drugs.
  • To assess the impact of academic detailing on junior doctors' confidence in prescribing these medications.

Main Methods:

  • Prescription errors were defined by legal requirements for addictive drugs.
  • Error rates were measured before and after academic detailing at an intervention hospital and compared to a control hospital.
  • A bookmark with prescribing requirements was provided to junior doctors.

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Main Results:

  • The intervention hospital showed a significant decrease in prescription error rates from 41% to 24% (P<0.0001).
  • Junior doctors' confidence in prescribing addictive drugs increased significantly post-intervention (P=0.03).
  • Control hospital showed no significant change in error rates; liquid preparations were noted as more difficult to prescribe correctly.

Conclusions:

  • Academic detailing is an effective method for reducing erroneous hospital prescriptions of addictive drugs.
  • This study presents a novel finding on the utility of academic detailing in this context.