Literature DB >> 15917365

Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital.

Jane M Garbutt1, Gabrielle Highstein, Donna B Jeffe, William Claiborne Dunagan, Victoria J Fraser.   

Abstract

PURPOSE: To assess medical students' and housestaff's knowledge, attitudes, and behaviors regarding safe prescribing.
METHOD: In 2003, 214 housestaff (interns and residents) and 77 medical students in medicine and surgery at Barnes-Jewish Hospital, St. Louis, Missouri, were asked to complete an anonymous, self-administered questionnaire about safe prescribing. Questions asked about training in and attitudes about safe-prescribing and current prescribing behaviors. Fisher exact test was used to compare attitudes and behaviors among subgroups.
RESULTS: Of the 175 (60%) respondents, 73 (59%) of 123 housestaff and eight (15%) of 52 students agreed that their safe-prescribing training was adequate (p < .001), and 145 (83%) total respondents agreed that prescribing errors were unacceptable. Respondents reported always doing the following: 156 (89%) checked prescribing information before prescribing new drugs, 131 (75%) checked for drug allergies, 103 (59%) double-checked dosage calculations, 98 (56%) checked for renal impairment, and 53 (30%) checked for potential drug-drug interactions.
CONCLUSION: Routine use of safe medication prescribing behaviors among housestaff and medical students was poor. Contributing factors may have included inadequate training and a culture that does not support safe prescribing. Effective strategies to increase safe medication prescribing need to be identified and implemented.

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Year:  2005        PMID: 15917365     DOI: 10.1097/00001888-200506000-00015

Source DB:  PubMed          Journal:  Acad Med        ISSN: 1040-2446            Impact factor:   6.893


  20 in total

1.  Medical clerkships do not reduce common prescription errors among medical students.

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2.  The performance of junior doctors in applying clinical pharmacology knowledge and prescribing skills to standardized clinical cases.

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4.  Confidence in Prescription Writing among Junior Physicians in Trinidad and Tobago.

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5.  Balanced prescribing.

Authors:  J K Aronson
Journal:  Br J Clin Pharmacol       Date:  2006-12       Impact factor: 4.335

6.  Curriculum to enhance pharmacotherapeutic knowledge in family medicine: interprofessional coteaching and web-based learning.

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Review 8.  The effect of prescriber education on medication-related patient harm in the hospital: a systematic review.

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Journal:  Br J Clin Pharmacol       Date:  2017-01-12       Impact factor: 4.335

9.  Use of an e-Learning Educational Module to Better Equip Doctors to Prescribe for Older Patients: A Randomised Controlled Trial.

Authors:  Shane Cullinan; Denis O'Mahony; Stephen Byrne
Journal:  Drugs Aging       Date:  2017-05       Impact factor: 3.923

10.  Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students.

Authors:  Lee A Lindquist; Kristine M Gleason; Molly R McDaniel; Allan Doeksen; David Liss
Journal:  J Gen Intern Med       Date:  2008-07       Impact factor: 5.128

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