Cargando…

Time to Rectify the Neglect? Audit on Prescription Writing the Neglected skill. Audit Ref No: AU/006/01/2021

AIMS: Prescribing is a neglected skill amongst trainees. Prescription errors can harm patients. A recent Economic analysis published in BMJ Quality & Safety. Estimated that 237 million medication errors occur in England annually. Costing the NHS £98,462,582. Prescribing errors contributed to 21%...

Descripción completa

Detalles Bibliográficos
Autores principales: Fulmali, Amit, Sheik, Sara, Suleman, Amir-Humza, Rana, Faryal, Bloxam, Ruth, Abdallah, Lubna, Mahanta, Ranjit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380053/
http://dx.doi.org/10.1192/bjo.2022.437
_version_ 1784768800696041472
author Fulmali, Amit
Sheik, Sara
Suleman, Amir-Humza
Rana, Faryal
Bloxam, Ruth
Abdallah, Lubna
Mahanta, Ranjit
author_facet Fulmali, Amit
Sheik, Sara
Suleman, Amir-Humza
Rana, Faryal
Bloxam, Ruth
Abdallah, Lubna
Mahanta, Ranjit
author_sort Fulmali, Amit
collection PubMed
description AIMS: Prescribing is a neglected skill amongst trainees. Prescription errors can harm patients. A recent Economic analysis published in BMJ Quality & Safety. Estimated that 237 million medication errors occur in England annually. Costing the NHS £98,462,582. Prescribing errors contributed to 21% of the total errors. It is important that all prescribers are aware of principles of safe prescribing. Our aim is to is to establish whether our practice is meeting standards of prescription writing in old age psychiatry ward setup. METHODS: We used prescription standards set by BMA, BNF and SABP (Surrey and Borders Partnership Foundation NHS Trust) to assess all prescriptions. The following parameters were checked: GMC number, Sign, Name of Doctor, Name of drug, Indication, Dose, Route, Frequency, Original start date, current Date, medication timings. DATA COLLECTION AND HANDLING: We performed a closed loop audit. A retrospective data of 228 prescriptions were collected from August 2020 to January 2021 from patients admitted in Victoria Ward. The data were analysed and presented at departmental meeting. Re-training on prescription writing conducted. New data was prospectively collected comprising of 230 prescriptions from March 2021 to June 2021 to complete the audit cycle. Excel sheet was used to collect the data and to get the results. All Prescription charts were collected from SystmOne (clinical software system). Data from both the Audit's were analysed and compared. RESULTS: We found errors in all parameters, except for medication timings. Comparison of the data from the first audit and re-audit showed an increase in prescription errors. There was an increased 20.33% error in writing GMC number, 16.87% error in writing name of the doctor, 12.94% error in indication and 5% error in original start date. There was improvement of 10.88% in one parameter, “Name of the drug”. CONCLUSION: A significant error was found in writing the GMC number and the Doctor's name, despite regular training during induction. There are no clear guidelines on the writing of GMC registration being compulsory on Drug chart. With one exception if online and you are not the patient's regular prescriber, then your GMC registration number is required. RECOMMENDATIONS: 1. We recommended the trust to issue stamps with GMC number and doctor's name. 2. Re-audit in 6 months’ time after introduction of the stamps. 3. Quarterly regular training of new Trainee doctors. SERVICE IMPROVEMENTS: After the Audit was submitted locally, stamps were introduced and issued to junior doctors at Victoria Ward by the Trust.
format Online
Article
Text
id pubmed-9380053
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Cambridge University Press
record_format MEDLINE/PubMed
spelling pubmed-93800532022-08-18 Time to Rectify the Neglect? Audit on Prescription Writing the Neglected skill. Audit Ref No: AU/006/01/2021 Fulmali, Amit Sheik, Sara Suleman, Amir-Humza Rana, Faryal Bloxam, Ruth Abdallah, Lubna Mahanta, Ranjit BJPsych Open Audit AIMS: Prescribing is a neglected skill amongst trainees. Prescription errors can harm patients. A recent Economic analysis published in BMJ Quality & Safety. Estimated that 237 million medication errors occur in England annually. Costing the NHS £98,462,582. Prescribing errors contributed to 21% of the total errors. It is important that all prescribers are aware of principles of safe prescribing. Our aim is to is to establish whether our practice is meeting standards of prescription writing in old age psychiatry ward setup. METHODS: We used prescription standards set by BMA, BNF and SABP (Surrey and Borders Partnership Foundation NHS Trust) to assess all prescriptions. The following parameters were checked: GMC number, Sign, Name of Doctor, Name of drug, Indication, Dose, Route, Frequency, Original start date, current Date, medication timings. DATA COLLECTION AND HANDLING: We performed a closed loop audit. A retrospective data of 228 prescriptions were collected from August 2020 to January 2021 from patients admitted in Victoria Ward. The data were analysed and presented at departmental meeting. Re-training on prescription writing conducted. New data was prospectively collected comprising of 230 prescriptions from March 2021 to June 2021 to complete the audit cycle. Excel sheet was used to collect the data and to get the results. All Prescription charts were collected from SystmOne (clinical software system). Data from both the Audit's were analysed and compared. RESULTS: We found errors in all parameters, except for medication timings. Comparison of the data from the first audit and re-audit showed an increase in prescription errors. There was an increased 20.33% error in writing GMC number, 16.87% error in writing name of the doctor, 12.94% error in indication and 5% error in original start date. There was improvement of 10.88% in one parameter, “Name of the drug”. CONCLUSION: A significant error was found in writing the GMC number and the Doctor's name, despite regular training during induction. There are no clear guidelines on the writing of GMC registration being compulsory on Drug chart. With one exception if online and you are not the patient's regular prescriber, then your GMC registration number is required. RECOMMENDATIONS: 1. We recommended the trust to issue stamps with GMC number and doctor's name. 2. Re-audit in 6 months’ time after introduction of the stamps. 3. Quarterly regular training of new Trainee doctors. SERVICE IMPROVEMENTS: After the Audit was submitted locally, stamps were introduced and issued to junior doctors at Victoria Ward by the Trust. Cambridge University Press 2022-06-20 /pmc/articles/PMC9380053/ http://dx.doi.org/10.1192/bjo.2022.437 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Audit
Fulmali, Amit
Sheik, Sara
Suleman, Amir-Humza
Rana, Faryal
Bloxam, Ruth
Abdallah, Lubna
Mahanta, Ranjit
Time to Rectify the Neglect? Audit on Prescription Writing the Neglected skill. Audit Ref No: AU/006/01/2021
title Time to Rectify the Neglect? Audit on Prescription Writing the Neglected skill. Audit Ref No: AU/006/01/2021
title_full Time to Rectify the Neglect? Audit on Prescription Writing the Neglected skill. Audit Ref No: AU/006/01/2021
title_fullStr Time to Rectify the Neglect? Audit on Prescription Writing the Neglected skill. Audit Ref No: AU/006/01/2021
title_full_unstemmed Time to Rectify the Neglect? Audit on Prescription Writing the Neglected skill. Audit Ref No: AU/006/01/2021
title_short Time to Rectify the Neglect? Audit on Prescription Writing the Neglected skill. Audit Ref No: AU/006/01/2021
title_sort time to rectify the neglect? audit on prescription writing the neglected skill. audit ref no: au/006/01/2021
topic Audit
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380053/
http://dx.doi.org/10.1192/bjo.2022.437
work_keys_str_mv AT fulmaliamit timetorectifytheneglectauditonprescriptionwritingtheneglectedskillauditrefnoau006012021
AT sheiksara timetorectifytheneglectauditonprescriptionwritingtheneglectedskillauditrefnoau006012021
AT sulemanamirhumza timetorectifytheneglectauditonprescriptionwritingtheneglectedskillauditrefnoau006012021
AT ranafaryal timetorectifytheneglectauditonprescriptionwritingtheneglectedskillauditrefnoau006012021
AT bloxamruth timetorectifytheneglectauditonprescriptionwritingtheneglectedskillauditrefnoau006012021
AT abdallahlubna timetorectifytheneglectauditonprescriptionwritingtheneglectedskillauditrefnoau006012021
AT mahantaranjit timetorectifytheneglectauditonprescriptionwritingtheneglectedskillauditrefnoau006012021