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Feedback on prescribing errors to junior doctors: exploring views, problems and preferred methods.

Jeroen Bertels1, Alex M Almoudaris, Pieter-Jan Cortoos

  • 1Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust and UCL School of Pharmacy, London, UK.

International Journal of Clinical Pharmacy
|March 12, 2013
PubMed
Summary
This summary is machine-generated.

Doctors and pharmacists value feedback on prescribing errors. Both groups prefer individual and regular generic feedback, but barriers like time constraints and communication issues need addressing to improve its effectiveness.

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Area of Science:

  • Medical error analysis
  • Healthcare quality improvement
  • Clinical pharmacy practice

Background:

  • Prescribing errors are frequent in hospitalized patients, with many doctors unaware of their mistakes.
  • Providing feedback to prescribers may lower error rates, but research on prescriber and pharmacist views is limited.

Purpose of the Study:

  • To explore junior doctors' and hospital pharmacists' views on feedback for individual prescribing errors.
  • To identify current feedback practices, challenges, and preferences for future feedback systems.

Main Methods:

  • A survey using 5-point Likert scale and open-ended questions was administered to junior doctors and pharmacists.
  • The study was conducted in a large London NHS hospital trust, assessing agreement on error rates, feedback opinions, barriers, and future practice preferences.

Main Results:

  • Doctors found current feedback constructive but irregular; pharmacists were willing to provide more feedback despite barriers like time and communication.
  • Both groups perceived feedback as acceptable and preferred a combination of individual and regular generic feedback.
  • Barriers to effective feedback included inconsistent provision by pharmacists and communication/time constraints.

Conclusions:

  • Feedback on prescribing errors is valued by both doctors and pharmacists.
  • Addressing barriers such as identifying individual prescribers is crucial for effective feedback implementation.
  • Further research is needed to determine if feedback interventions reduce subsequent prescribing error rates.