| Repeat prescribing--reducing errors. | |
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MedLine Citation:
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PMID: 21625665 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND CONTEXT: Prescribing errors account for a significant proportion of overall error in general practice. Repeat prescribing occurs commonly in New Zealand and is a likely cause of error in practice. ASSESSMENT OF PROBLEM: This paper reports on two related aspects of repeat prescribing; an audit of adherence to a repeat prescribing protocol and self-reported repeat prescribing incidents in a network of 97 general practices. RESULTS: The audit of adherence to the repeat prescribing protocol revealed that some issues persist. In particular, prescribing medication outside an approved list and exceeding specified time limits or maximal scripts before clinical review were problematic. Repeat prescribing encompassed a range of departures of process from minor (such as prescription not available on time) to major (wrong medication). Corrective measures highlighted the importance of both the pharmacist and the patient in error detection. STRATEGIES FOR IMPROVEMENT: Repeat prescribing needs to be recognised as a process potentially fraught with error. Effective practice systems, patient involvement and enhanced pharmacy communication are important contributing factors in reducing error. LESSONS: There is need for robust data regarding error rates in prescribing and the impact of changing prescribing protocols on error rates. |
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Authors:
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Steven Lillis; Hayley Lord |
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Publication Detail:
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Type: Journal Article Date: 2011-06-01 |
Journal Detail:
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Title: Journal of primary health care Volume: 3 ISSN: 1172-6156 ISO Abbreviation: J Prim Health Care Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-05-31 Completed Date: 2011-09-22 Revised Date: 2011-10-14 |
Medline Journal Info:
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Nlm Unique ID: 101524060 Medline TA: J Prim Health Care Country: New Zealand |
Other Details:
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Languages: eng Pagination: 153-8 Citation Subset: IM |
Affiliation:
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Waikato Clinical School, Bryant Education Centre, Hamilton, New Zealand. slillis@wave.co.nz |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Drug Prescriptions* Electronic Prescribing General Practice Guideline Adherence / statistics & numerical data* Humans Medical Audit Medication Errors / prevention & control* New Zealand Physician's Practice Patterns / statistics & numerical data* Practice Guidelines as Topic Safety Management |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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