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A study of Foundation Year doctors’ prescribing in patients with kidney disease at a UK renal unit: a comparison with other prescribers regarding the frequency and type of errors

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journal contribution
posted on 24.04.2015, 15:34 by Rakesh Patel, William Green, Maria Martinez, Muhammad Waseem Shahzad, Christopher Larkin
Objectives Errors in the process of prescribing can lead to avoidable harm for patients. Establishing the extent of prescribing errors across medical specialties is critical. This research explores the frequency and types of prescribing errors made by healthcare professionals prescribing in patients with renal disease where prescribing problem-solving and decision-making is complex due to co-existing multimorbidity Methods All prescriptions and errors made by prescribers were captured over a four-month period at a UK renal unit. Data was recorded about the medicine associated with error, the nature and severity of error, alongside the prescriber’s occupational grade. Results There were 10394 items prescribed and 3.54% with associated prescribing errors. Whilst Foundation year one doctors made almost one error every week (n=15.13) and Foundation year two doctors one every two weeks (n=8.00), other prescribers made one error per month (n=3.94, 95%). The medicines most frequently associated with errors for Foundation doctors were paracetamol (6.51%), calcium acetate (5.33%), meropenem (3.55%), alfacalcidol (3.55%) and tazocin (3.55%), whilst for all other prescribers they were meropenem (6.15%), alfacalcidol (4.62%), co-amoxiclav (4.62%) and tacrolimus (4.62%). The most common types of error for both groups were omitting the indication, using the brand name inappropriately, and prescribing inaccurate doses. Conclusions The range of errors made by multi-professional healthcare prescribers confirms complexity of prescribing on a renal unit for patients with kidney disease and multimorbidity. These findings have implications for the types of educational interventions required for reducing avoidable harm and overcoming human factors challenges to improve prescribing behaviour.

Funding

The National Institute of Health Research for funding Dr Patel’s Academic Clinical Lectureship (ACL) and associated research. This study was part-funded by Health Education East Midlands. Pfizer pharmaceuticals through an unrestricted educational project grant also provided part funding for the lead pharmacist. Small financial contributions were also received from the University Hospitals of Leicester NHS Trust and the University of Leicester.

History

Citation

European Journal of Hospital Pharmacy 2015

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Medical and Social Care Education

Version

AM (Accepted Manuscript)

Published in

European Journal of Hospital Pharmacy 2015

Publisher

BMJ Publishing Group, European Association of Hospital Pharmacists

issn

2047-9956

eissn

2047-9964

Copyright date

2015

Available date

01/10/2015

Publisher version

http://ejhp.bmj.com/content/early/2015/03/31/ejhpharm-2014-000620

Language

en