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A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system
Background Computerised Physician Order Entry (CPOE) is considered to enhance the safety of prescribing. However, it can have unintended consequences and new forms of prescribing error have been reported. Objective The aim of this study was to explore the causes and contributing factors associated w...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer International Publishing
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352824/ https://www.ncbi.nlm.nih.gov/pubmed/33165835 http://dx.doi.org/10.1007/s11096-020-01192-0 |
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author | Alshahrani, Fahad Marriott, John F. Cox, Anthony R. |
author_facet | Alshahrani, Fahad Marriott, John F. Cox, Anthony R. |
author_sort | Alshahrani, Fahad |
collection | PubMed |
description | Background Computerised Physician Order Entry (CPOE) is considered to enhance the safety of prescribing. However, it can have unintended consequences and new forms of prescribing error have been reported. Objective The aim of this study was to explore the causes and contributing factors associated with prescribing errors reported by multidisciplinary prescribers working within a CPOE system. Main Outcome Measure Multidisciplinary prescribers experience of prescribing errors in an CPOE system. Method This qualitative study was conducted in a hospital with a well-established CPOE system. Semi-structured qualitative interviews were conducted with prescribers from the professions of pharmacy, nursing, and medicine. Interviews analysed using a mixed inductive and deductive approach to develop a framework for the causes of error. Results Twenty-three prescribers were interviewed. Six main themes influencing prescribing were found: the system, the prescriber, the patient, the team, the task of prescribing and the work environment. Prominent issues related to CPOE included, incorrect drug name picking, default auto-population of dosages, alert fatigue and remote prescribing. These interacted within a complex prescribing environment. No substantial differences in the experience of CPOE were found between the professions. Conclusion Medical and non-medical prescribers have similar experiences of prescribing errors when using CPOE, aligned with existing published literature about medical prescribing. Causes of electronic prescribing errors are multifactorial in nature and prescribers describe how factors interact to create the conditions errors. While interventions should focus on direct CPOE issues, such as training and design, socio-technical, and environmental aspects of practice remain important. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11096-020-01192-0) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-8352824 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-83528242021-08-24 A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system Alshahrani, Fahad Marriott, John F. Cox, Anthony R. Int J Clin Pharm Research Article Background Computerised Physician Order Entry (CPOE) is considered to enhance the safety of prescribing. However, it can have unintended consequences and new forms of prescribing error have been reported. Objective The aim of this study was to explore the causes and contributing factors associated with prescribing errors reported by multidisciplinary prescribers working within a CPOE system. Main Outcome Measure Multidisciplinary prescribers experience of prescribing errors in an CPOE system. Method This qualitative study was conducted in a hospital with a well-established CPOE system. Semi-structured qualitative interviews were conducted with prescribers from the professions of pharmacy, nursing, and medicine. Interviews analysed using a mixed inductive and deductive approach to develop a framework for the causes of error. Results Twenty-three prescribers were interviewed. Six main themes influencing prescribing were found: the system, the prescriber, the patient, the team, the task of prescribing and the work environment. Prominent issues related to CPOE included, incorrect drug name picking, default auto-population of dosages, alert fatigue and remote prescribing. These interacted within a complex prescribing environment. No substantial differences in the experience of CPOE were found between the professions. Conclusion Medical and non-medical prescribers have similar experiences of prescribing errors when using CPOE, aligned with existing published literature about medical prescribing. Causes of electronic prescribing errors are multifactorial in nature and prescribers describe how factors interact to create the conditions errors. While interventions should focus on direct CPOE issues, such as training and design, socio-technical, and environmental aspects of practice remain important. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11096-020-01192-0) contains supplementary material, which is available to authorized users. Springer International Publishing 2020-11-09 2021 /pmc/articles/PMC8352824/ /pubmed/33165835 http://dx.doi.org/10.1007/s11096-020-01192-0 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Article Alshahrani, Fahad Marriott, John F. Cox, Anthony R. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system |
title | A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system |
title_full | A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system |
title_fullStr | A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system |
title_full_unstemmed | A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system |
title_short | A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system |
title_sort | qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352824/ https://www.ncbi.nlm.nih.gov/pubmed/33165835 http://dx.doi.org/10.1007/s11096-020-01192-0 |
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