PURPOSE: To study prescribing errors requiring pharmacists' interventions and to evaluate the potential clinical significance of the errors and omissions detected. METHODS: The pharmacists at ten community pharmacies and two out-patient hospital pharmacies recorded prescribing errors and corresponding interventions using a modified version of a previously developed registration scheme. Prescription errors with potential clinical significance were scored according to a modified version of Safety Assessment Code (SAC)-score RESULTS: During the study period 85,475 prescriptions were dispensed. A total of 2385 prescribing errors were detected on 2226 (2.6%) prescriptions. The proportion of prescriptions with errors and omissions was more than four times higher on prescriptions from hospital physicians (7.1%) than on prescriptions from general practitioners (1.5%). The information on the majority (62.2%) of the prescriptions with inaccuracies had to be clarified before the drug could be dispensed. About 1/4 of the errors and omissions were of potential importance for the drug therapy. An expert panel of physicians and pharmacists judged 85% of these errors and omissions to be clinically significant. Individual physicians and pharmacists judged the clinical importance of the detected prescribing errors somewhat differently. CONCLUSIONS: Pharmacists intervened on 2.6% of prescriptions, and the majority of the potentially clinically significant prescribing errors were judged as significant to the patient's drug therapy and safety.
PURPOSE: To study prescribing errors requiring pharmacists' interventions and to evaluate the potential clinical significance of the errors and omissions detected. METHODS: The pharmacists at ten community pharmacies and two out-patient hospital pharmacies recorded prescribing errors and corresponding interventions using a modified version of a previously developed registration scheme. Prescription errors with potential clinical significance were scored according to a modified version of Safety Assessment Code (SAC)-score RESULTS: During the study period 85,475 prescriptions were dispensed. A total of 2385 prescribing errors were detected on 2226 (2.6%) prescriptions. The proportion of prescriptions with errors and omissions was more than four times higher on prescriptions from hospital physicians (7.1%) than on prescriptions from general practitioners (1.5%). The information on the majority (62.2%) of the prescriptions with inaccuracies had to be clarified before the drug could be dispensed. About 1/4 of the errors and omissions were of potential importance for the drug therapy. An expert panel of physicians and pharmacists judged 85% of these errors and omissions to be clinically significant. Individual physicians and pharmacists judged the clinical importance of the detected prescribing errors somewhat differently. CONCLUSIONS: Pharmacists intervened on 2.6% of prescriptions, and the majority of the potentially clinically significant prescribing errors were judged as significant to the patient's drug therapy and safety.
Authors: Christin Löffler; Carolin Koudmani; Femke Böhmer; Susanne D Paschka; Jennifer Höck; Eva Drewelow; Martin Stremme; Bernd Stahlhacke; Attila Altiner Journal: BMC Health Serv Res Date: 2017-03-21 Impact factor: 2.655
Authors: Thao H Nguyen; Vy T T Le; Dung N Quach; Han G Diep; Nguyet K Nguyen; Anh N Lam; Suol T Pham; Katja Taxis; Thang Nguyen; Phuong M Nguyen Journal: Healthcare (Basel) Date: 2021-03-14