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Quantifying and reducing inhaler prescription errors in secondary care.

Seher Zaidi1, Cathy Mordaunt2, Nicola Durnin2

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Summary

Inhaled medication prescription errors by junior doctors are common and costly, with 14% of prescriptions being incorrect. A simple educational intervention did not significantly improve junior doctors' knowledge or reduce these errors.

Keywords:
ErrorsInhaled medicationJunior doctorsKnowledgePrescribingUnited Kingdom

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Area of Science:

  • Medical Education
  • Pharmacology
  • Patient Safety

Background:

  • Junior doctors frequently prescribe inhaled medications to hospitalized patients.
  • Inhaled medication prescriptions represent a significant source of potential prescription errors.
  • Understanding the scope and cost of these errors is crucial for improving patient care.

Purpose of the Study:

  • To identify the types, frequency, and financial cost of prescription errors involving inhaled medications.
  • To evaluate the effectiveness of a simple educational intervention in enhancing junior doctors' knowledge and reducing prescription errors.
  • To assess the impact of inhaler flashcards on prescription accuracy.

Main Methods:

  • A prospective study was conducted to analyze inhaled prescription errors and their associated costs.
  • Junior doctors' knowledge was assessed using quizzes before and after an educational intervention.
  • The intervention involved introducing inhaler flashcards on specific hospital wards, followed by an electronic feedback survey.

Main Results:

  • Prescription error rates varied significantly by inhaler device, with Evohaler and Accuhaler having 23% incorrect prescriptions.
  • The average cost of an erroneously prescribed inhaled medication was £45.50.
  • Despite the intervention, there was no significant improvement in junior doctors' knowledge or a reduction in prescription error rates.

Conclusions:

  • Prescription errors for inhaled medications are prevalent and incur substantial costs for correction.
  • There is an identified need for enhanced teaching and training programs for junior doctors and medical students regarding inhaled medication prescribing.
  • Current educational interventions may not be sufficient to address the issue of inhaled medication prescription errors effectively.