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Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study

BACKGROUND: A high rate of prescription errors exists in pediatric teaching hospitals, especially during initial training. OBJECTIVES: To determine the effectiveness of a two-hour lecture by a pharmacist on rates of prescription errors and quality of prescriptions. METHODS: A two-hour lecture led by...

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Autores principales: Vairy, Stephanie, Corny, Jennifer, Jamoulle, Olivier, Levy, Arielle, Lebel, Denis, Carceller, Ana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of Calgary, Health Sciences Centre 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5766214/
https://www.ncbi.nlm.nih.gov/pubmed/29354193
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author Vairy, Stephanie
Corny, Jennifer
Jamoulle, Olivier
Levy, Arielle
Lebel, Denis
Carceller, Ana
author_facet Vairy, Stephanie
Corny, Jennifer
Jamoulle, Olivier
Levy, Arielle
Lebel, Denis
Carceller, Ana
author_sort Vairy, Stephanie
collection PubMed
description BACKGROUND: A high rate of prescription errors exists in pediatric teaching hospitals, especially during initial training. OBJECTIVES: To determine the effectiveness of a two-hour lecture by a pharmacist on rates of prescription errors and quality of prescriptions. METHODS: A two-hour lecture led by a pharmacist was provided to 11 junior pediatric residents (PGY-1) as part of a one-month immersion program. A control group included 15 residents without the intervention. We reviewed charts to analyze the first 50 prescriptions of each resident. RESULTS: Data were collected from 1300 prescriptions involving 451 patients, 550 in the intervention group and 750 in the control group. The rate of prescription errors in the intervention group was 9.6% compared to 11.3% in the control group (p=0.32), affecting 106 patients. Statistically significant differences between both groups were prescriptions with unwritten doses (p=0.01) and errors involving overdosing (p=0.04). We identified many errors as well as issues surrounding quality of prescriptions. CONCLUSION: We found a 10.6% prescription error rate. This two-hour lecture seems insufficient to reduce prescription errors among junior pediatric residents. This study highlights the most frequent types of errors and prescription quality issues that should be targeted by future educational interventions.
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spelling pubmed-57662142018-01-19 Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study Vairy, Stephanie Corny, Jennifer Jamoulle, Olivier Levy, Arielle Lebel, Denis Carceller, Ana Can Med Educ J Major Contributions BACKGROUND: A high rate of prescription errors exists in pediatric teaching hospitals, especially during initial training. OBJECTIVES: To determine the effectiveness of a two-hour lecture by a pharmacist on rates of prescription errors and quality of prescriptions. METHODS: A two-hour lecture led by a pharmacist was provided to 11 junior pediatric residents (PGY-1) as part of a one-month immersion program. A control group included 15 residents without the intervention. We reviewed charts to analyze the first 50 prescriptions of each resident. RESULTS: Data were collected from 1300 prescriptions involving 451 patients, 550 in the intervention group and 750 in the control group. The rate of prescription errors in the intervention group was 9.6% compared to 11.3% in the control group (p=0.32), affecting 106 patients. Statistically significant differences between both groups were prescriptions with unwritten doses (p=0.01) and errors involving overdosing (p=0.04). We identified many errors as well as issues surrounding quality of prescriptions. CONCLUSION: We found a 10.6% prescription error rate. This two-hour lecture seems insufficient to reduce prescription errors among junior pediatric residents. This study highlights the most frequent types of errors and prescription quality issues that should be targeted by future educational interventions. University of Calgary, Health Sciences Centre 2017-12-15 /pmc/articles/PMC5766214/ /pubmed/29354193 Text en © 2017 Vairy, Corny, Jamoulle, Levy, Lebel, Carceller; licensee Synergies Partners This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Major Contributions
Vairy, Stephanie
Corny, Jennifer
Jamoulle, Olivier
Levy, Arielle
Lebel, Denis
Carceller, Ana
Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_full Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_fullStr Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_full_unstemmed Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_short Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_sort can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? a retrospective cohort study
topic Major Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5766214/
https://www.ncbi.nlm.nih.gov/pubmed/29354193
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