The impact of a prescription review and prescriber feedback system on prescribing practices in primary care clinics: a cluster randomised trial

BMC Family Practice
Wei Yin LimRanjit Kaur Praim Singh

Abstract

To evaluate the effectiveness of a structured prescription review and prescriber feedback program in reducing prescribing errors in government primary care clinics within an administrative region in Malaysia. This was a three group, pragmatic, cluster randomised trial. In phase 1, we randomised 51 clinics to a full intervention group (prescription review and league tables plus authorised feedback letter), a partial intervention group (prescription review and league tables), and a control group (prescription review only). Prescribers in these clinics were the target of our intervention. Prescription reviews were performed by pharmacists; 20 handwritten prescriptions per prescriber were consecutively screened on a random day each month, and errors identified were recorded in a standardised data collection form. Prescribing performance feedback was conducted at the completion of each prescription review cycle. League tables benchmark prescribing errors across clinics and individual prescribers, while the authorised feedback letter detailed prescribing performance based on a rating scale. In phase 2, all clinics received the full intervention. Pharmacists were trained on data collection, and all data were audited by researchers as ...Continue Reading

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Citations

Oct 22, 2020·Pharmacoepidemiology and Drug Safety·Rema PanickarZoriah Aziz
Sep 2, 2020·Infection, Disease & Health·Kaye E ErvinElizabeth Smith
Feb 5, 2021·Current Medical Research and Opinion·Eladio Fernández-LizUNKNOWN ; on behalf of the Urinary Incontinence Improvement Clinical Group
Feb 12, 2021·Patient Preference and Adherence·Athirah Saiful BahriNoraida Mohamed Shah
Feb 25, 2021·International Journal of Technology Assessment in Health Care·Ahmad RaeesiReza Khajouei
Oct 16, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Steve Van Den BulckPatrik Vankrunkelsven

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