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Setup and Execution Of the Blindfolded Code Training Exercise
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Prevention of medication errors: teaching and training.

Robert Likic1, Simon R J Maxwell

  • 1Department of Internal Medicine, Unit of Clinical Pharmacology, University of Zagreb, School of Medicine, University Hospital Rebro, Kispaticeva 12, Zagreb, Croatia.

British Journal of Clinical Pharmacology
|July 15, 2009
PubMed
Summary

Poor prescribing by junior doctors causes preventable medication errors. Medical school changes may reduce essential pharmacology and prescribing training, impacting readiness for practice.

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Area of Science:

  • Medical Education
  • Clinical Pharmacology
  • Patient Safety

Background:

  • Poor prescribing is a leading cause of preventable medication errors, frequently involving junior doctors.
  • Recent changes in medical education have reduced emphasis on clinical pharmacology and practical prescribing skills.
  • Concerns exist globally that current training inadequately prepares medical graduates for prescribing responsibilities.

Purpose of the Study:

  • To highlight the impact of evolving medical education on prescribing skills.
  • To advocate for a review of undergraduate and postgraduate prescribing training.
  • To propose guiding principles for enhanced prescriber education.

Main Methods:

  • Analysis of systems contributing to medication errors.
  • Review of medical education changes and their impact on pharmacology and prescribing training.
  • Synthesis of evidence to support educational reform.

Main Results:

  • Medication errors are often linked to prescribing deficiencies, particularly among new doctors.
  • Curriculum changes have diminished dedicated training in clinical pharmacology and practical prescribing.
  • Circumstantial evidence suggests a link between reduced training and prescribing errors.

Conclusions:

  • Focused education and training are crucial for improving prescribing performance.
  • A comprehensive review of current prescribing education is warranted.
  • Guiding principles for improved prescriber training should be developed and implemented.