Simple prescribing errors and allergy documentation in medical hospital admissions in Australia and New Zealand.

Clinical Medicine : Journal of the Royal College of Physicians of London
Lorna BartonJosephine S Thomas

Abstract

This study aimed to quantify and compare the prevalence of simple prescribing errors made by clinicians in the first 24 hours of a general medical patient's hospital admission. Four public or private acute care hospitals across Australia and New Zealand each audited 200 patients' drug charts. Patient demographics, pharmacist review and pre-defined prescribing errors were recorded. At least one simple error was present on the medication charts of 672/715 patients, with a linear relationship between the number of medications prescribed and the number of errors (r = 0.571, p < 0.001). The four sites differed significantly in the prevalence of different types of simple prescribing errors. Pharmacists were more likely to review patients aged > or = 75 years (39.9% vs 26.0%; p < 0.001) and those with more than 10 drug prescriptions (39.4% vs 25.7%; p < 0.001). Patients reviewed by a pharmacist were less likely to have inadequate documentation of allergies (13.5% vs 29.4%, p < 0.001). Simple prescribing errors are common, although their nature differs from site to site. Clinical pharmacists target patients with the most complex health situations, and their involvement leads to improved documentation.

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Citations

May 17, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Humphrey Hodgson
Dec 18, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Lauren McTierMaxine Duke
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Sep 29, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Eugene Yh Yeung
Aug 2, 2017·PloS One·Paulo Henrique Santos AndradeWellington Barros da Silva
Sep 23, 2020·Journal of General Internal Medicine·Neelam A PhadkeKimberly G Blumenthal
Aug 31, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Mark LloydLynn Ridley
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Nov 2, 2021·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Emilia VassilopoulouInger Kull

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