Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study

Background: A high rate of prescription errors exists in pediatric teaching hospitals, especially during initial training. Objectives: To determine the effectiveness of a two-hour lecture by a pharmacist on rates of prescription errors and quality of prescriptions. Methods: A two-hour lecture led by...

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Main Authors: Ana Carceller-Blanchard, Stéphanie Vairy, Jennifer Corny, Olivier Jamoulle, Arielle Levy, Denis Lebel
Format: Article
Language:English
Published: Canadian Medical Education Journal 2017-12-01
Series:Canadian Medical Education Journal
Subjects:
Online Access:https://journalhosting.ucalgary.ca/index.php/cmej/article/view/36786
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author Ana Carceller-Blanchard
Stéphanie Vairy
Jennifer Corny
Olivier Jamoulle
Arielle Levy
Denis Lebel
author_facet Ana Carceller-Blanchard
Stéphanie Vairy
Jennifer Corny
Olivier Jamoulle
Arielle Levy
Denis Lebel
author_sort Ana Carceller-Blanchard
collection DOAJ
description Background: A high rate of prescription errors exists in pediatric teaching hospitals, especially during initial training. Objectives: To determine the effectiveness of a two-hour lecture by a pharmacist on rates of prescription errors and quality of prescriptions. Methods: A two-hour lecture led by a pharmacist was provided to 11 junior pediatric residents (PGY-1) as part of a one-month immersion program. A control group included 15 residents without the intervention. We reviewed charts to analyze the first 50 prescriptions of each resident. Results: Data were collected from 1300 prescriptions involving 451 patients, 550 in the intervention group and 750 in the control group. The rate of prescription errors in the intervention group was 9.6% compared to 11.3% in the control group (p=0.32), affecting 106 patients. Statistically significant differences between both groups were prescriptions with unwritten doses (p=0.01) and errors involving overdosing (p=0.04). We identified many errors as well as issues surrounding quality of prescriptions. Conclusion: We found a 10.6% prescription error rate. This two-hour lecture seems insufficient to reduce prescription errors among junior pediatric residents. This study highlights the most frequent types of errors and prescription quality issues that should be targeted by future educational interventions.
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spelling doaj.art-4bdd3b1aa13f49f592a1551cc910b2402022-12-21T21:11:15ZengCanadian Medical Education JournalCanadian Medical Education Journal1923-12022017-12-018410.36834/cmej.36786Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort studyAna Carceller-Blanchard0Stéphanie VairyJennifer CornyOlivier JamoulleArielle LevyDenis LebelCHU Sainte-Justine. University of Montreal.Background: A high rate of prescription errors exists in pediatric teaching hospitals, especially during initial training. Objectives: To determine the effectiveness of a two-hour lecture by a pharmacist on rates of prescription errors and quality of prescriptions. Methods: A two-hour lecture led by a pharmacist was provided to 11 junior pediatric residents (PGY-1) as part of a one-month immersion program. A control group included 15 residents without the intervention. We reviewed charts to analyze the first 50 prescriptions of each resident. Results: Data were collected from 1300 prescriptions involving 451 patients, 550 in the intervention group and 750 in the control group. The rate of prescription errors in the intervention group was 9.6% compared to 11.3% in the control group (p=0.32), affecting 106 patients. Statistically significant differences between both groups were prescriptions with unwritten doses (p=0.01) and errors involving overdosing (p=0.04). We identified many errors as well as issues surrounding quality of prescriptions. Conclusion: We found a 10.6% prescription error rate. This two-hour lecture seems insufficient to reduce prescription errors among junior pediatric residents. This study highlights the most frequent types of errors and prescription quality issues that should be targeted by future educational interventions.https://journalhosting.ucalgary.ca/index.php/cmej/article/view/36786medication errordrug prescriptiontraining
spellingShingle Ana Carceller-Blanchard
Stéphanie Vairy
Jennifer Corny
Olivier Jamoulle
Arielle Levy
Denis Lebel
Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
Canadian Medical Education Journal
medication error
drug prescription
training
title Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_full Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_fullStr Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_full_unstemmed Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_short Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
title_sort can a two hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital a retrospective cohort study
topic medication error
drug prescription
training
url https://journalhosting.ucalgary.ca/index.php/cmej/article/view/36786
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