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Published on: June 11, 2012
Decreasing paediatric prescribing errors in a district general hospital
A L Davey1, A Britland, R J Naylor
1Airedale General Hospital, Skipton Road, Steeton, Keighley BD20 0HT, UK. amanda.davey@anhst.nhs.uk
Insights
Implementing a junior doctor prescribing tutorial significantly reduced paediatric prescribing errors by 46%. Bedside guidelines offered supplementary support, contributing to an overall reduction in medication errors for children.
Area of Science:
- Pediatric Patient Safety
- Medication Error Reduction
- Clinical Pharmacology
Background:
- Medication errors are frequent in pediatric inpatients, with prescribing errors comprising up to 80% of cases.
- A district general hospital's children's unit in West Yorkshire, UK, was the study setting.
Purpose of the Study:
- To evaluate strategies for reducing prescribing errors and preventable adverse drug events in pediatric inpatients.
- To assess the impact of educational interventions and resource availability on prescribing accuracy.
Main Methods:
- Introduction of a junior doctor prescribing tutorial.
- Implementation of a bedside prescribing guideline for pediatric patients.
Main Results:
- The junior doctor prescribing tutorial led to a 46% decrease in prescribing errors.
- The bedside prescribing guideline did not significantly reduce prescribing errors but served as a useful resource.
Conclusions:
- Targeted educational interventions, like prescribing tutorials, are effective in reducing pediatric prescribing errors.
- Investment in training and written resources can significantly improve medication safety in pediatric care.
Background:
In paediatric inpatients, medication errors occur as frequently as 1 in 4.2 drug orders, with up to 80% of these being prescribing errors.
Context:
The children's unit of a district general hospital in West Yorkshire, UK.
Key Measures For Improvement:
Prescribing errors and preventable adverse drug events
Strategies For Change:
(1) The introduction of a junior doctor prescribing tutorial. (2) The introduction of a bedside prescribing guideline.
Effects Of Change:
The introduction of the junior doctor prescribing tutorial decreased the prescribing errors by 46%. The introduction of a bedside prescribing guideline did not decrease prescribing errors but may have been helpful to those doctors unable to attend a prescribing tutorial.
Lessons Learnt:
By investing time and providing appropriate written resources, we have been able to reduce our paediatric prescribing errors on the children's ward by almost half.
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