PMID: 18205581Jan 22, 2008Paper

Why do interns make prescribing errors? A qualitative study

The Medical Journal of Australia
Ian D CoombesCharles Mitchell

Abstract

To identify and analyse factors underlying intern prescribing errors to inform development of specific medication-safety interventions. A prospective qualitative study that involved face-to-face interviews and human-factor analysis. A tertiary referral teaching hospital, Brisbane, Queensland, February-June, 2004. Fourteen intern prescribers involved in 21 errors. A structured questionnaire was used to identify factors causing the errors. Transcripts were analysed on the basis of human-error theory to identify underlying themes. Factors underlying prescribing errors. Errors were multifactorial, with a median of 4 (range, 2-5) different types of performance-influencing factors per error. Lack of drug knowledge was not the single causative factor in any incident. The factors in new-prescribing errors included team, individual, patient and task factors. Factors associated with errors in represcribing were environment, task and number of weeks into the term. Defences against error, such as other clinicians and guidelines, were porous, and supervision was inadequate or not tailored to the patient, task, intern or environment. Factors were underpinned by an underlying culture in which prescribing is seen as a repetitive low-risk chore...Continue Reading

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Citations

Dec 24, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Asela M OlupeliyawaChinthaka D Balasooriya
Apr 13, 2017·Internal Medicine Journal·Brooke MyersIan Coombes
Aug 12, 2009·Internal Medicine Journal·P Pillans
Mar 24, 2011·British Journal of Clinical Pharmacology·Ian D CoombesCharles Mitchell
Feb 13, 2014·British Journal of Clinical Pharmacology·Penny J LewisMary P Tully
Sep 3, 2009·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Mary P TullyVal Wass
Feb 18, 2014·Medical Education·Asela OlupeliyawaAnthony O'Sullivan
Feb 15, 2019·Medicine·Oudong XiaZhirong Zeng
Sep 25, 2009·Pharmacy World & Science : PWS·Mary P Tully, Iain E Buchan
Mar 8, 2018·The Journal of Antimicrobial Chemotherapy·Jonne J SikkensMichiel A van Agtmael
Nov 10, 2020·International Journal of Clinical Pharmacy·Fahad AlshahraniAnthony R Cox
Jun 4, 2019·European Journal of Hospital Pharmacy. Science and Practice·David Rhys AxonRachel L Howard
Jun 2, 2011·Journal of Clinical Nursing·Ramzi ShawahnaXavier Declèves
Aug 24, 2016·Pharmacy : Journal of Pharmacy, Education and Practice·Christina R HansenLaura J Sahm
Oct 4, 2017·Pharmacy : Journal of Pharmacy, Education and Practice·Christina R HansenLaura J Sahm
Apr 15, 2014·Advances in Health Sciences Education : Theory and Practice·Eitan NavehZvi Stern
Jul 15, 2011·British Journal of Clinical Pharmacology·Charlotte RothwellJan Illing
Jun 19, 2008·The Medical Journal of Australia·Ian D CoombesCharles A Mitchell
Mar 9, 2010·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Rami B IbrahimDavid Reeves
Sep 21, 2011·Geriatrics & Gerontology International·Tuck Yean YongCampbell Henry Thompson
Aug 21, 2015·British Journal of Clinical Pharmacology·Effie DeardenJeni Harden
Apr 9, 2013·Emergency Medicine Australasia : EMA·Katrina StarmerDaniel Kapitzke
Oct 22, 2008·The Medical Journal of Australia·Frank T Formby
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Feb 11, 2009·The Medical Journal of Australia·Chanelle M SimpsonJames F Lind
Mar 1, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Mara B AntonoffJonathan D'Cunha

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