Pharmacist-led, prescription intervention system-assisted feedback to reduce prescribing errors: A retrospective...

Area of Science:

• Pharmacy Practice
• Patient Safety
• Health Informatics

Background:

• Prescribing errors are a significant issue in hospital settings.
• Feedback mechanisms are recommended to improve physician prescribing.
• The impact of pharmacist-led interventions on prescribing accuracy requires evaluation.

Purpose of the Study:

• To assess the effectiveness of a pharmacist-led prescription intervention system in reducing prescribing error rates.
• To measure the efficiency of the intervention system in a hospital environment.

Main Methods:

• A pharmacist-led prescription intervention system was implemented for all prescribers at Shandong Provincial Third Hospital.
• Prescribing error rates were tracked from October 2019 to December 2020.
• Intervention efficiency was measured by analyzing PASS 1 (System pass), PASS 2 (Pharmacist pass), and PASS 3 (Pharmacist-doctor pass) rates and feedback times.

Main Results:

• The overall prescribing error rate decreased significantly from 6.94% to 1.96%, a reduction of 71.76% (p < 0.05).
• The PASS 1 rate increased from 88% to 96% (p < 0.05), indicating improved system detection.
• PASS 2 and PASS 3 rates decreased, reflecting fewer errors requiring pharmacist or physician intervention.

Conclusions:

• The pharmacist-led prescription intervention system effectively reduces prescribing errors in hospitals.
• Implementation of this system improves drug utilization and enhances patient safety.
• The system demonstrates potential for widespread adoption to improve medication safety outcomes.