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Repeat prescribing--reducing errors.

Steven Lillis¹, Hayley Lord

¹Waikato Clinical School, Bryant Education Centre, Hamilton, New Zealand. slillis@wave.co.nz

Journal of Primary Health Care

|June 1, 2011

Summary

This summary is machine-generated.

Prescribing errors in New Zealand general practice are common, particularly with repeat prescribing. Audits reveal persistent issues, emphasizing the need for improved systems and communication to reduce medication errors.

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Area of Science:

General Practice
Pharmacovigilance
Medication Safety

Background:

Prescribing errors represent a significant portion of errors in general practice.
Repeat prescribing is a common practice in New Zealand and a potential source of errors.

Purpose of the Study:

To audit adherence to a repeat prescribing protocol.
To investigate self-reported repeat prescribing incidents.
To identify factors contributing to medication errors in repeat prescribing.

Main Methods:

An audit of adherence to a repeat prescribing protocol was conducted.
Self-reported repeat prescribing incidents were collected.
The study involved a network of 97 general practices.

Main Results:

The audit identified persistent issues with protocol adherence, including prescribing outside approved lists and exceeding time limits.
Repeat prescribing errors ranged from minor (prescription timing) to major (wrong medication).
Pharmacist and patient involvement was crucial in detecting errors.

Conclusions:

Repeat prescribing is a process with inherent error potential.
Effective practice systems, patient involvement, and enhanced pharmacy communication are key to error reduction.
There is a need for robust data on prescribing error rates and the impact of protocol changes.