Repeat prescribing--reducing errors.
Steven Lillis,Hayley Lord +1 more
TL;DR: An audit of adherence to a repeat prescribing protocol and self-reported repeat prescribing incidents in a network of 97 general practices revealed that some issues persist and repeat prescribing encompassed a range of departures of process from minor to major.
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Abstract: BACKGROUND AND CONTEXT: Prescribing errors account for a significant proportion of overall error in general practice. Repeat prescribing occurs commonly in New Zealand and is a likely cause of error in practice. ASSESSMENT OF PROBLEM: This paper reports on two related aspects of repeat prescribing; an audit of adherence to a repeat prescribing protocol and self-reported repeat prescribing incidents in a network of 97 general practices. RESULTS: The audit of adherence to the repeat prescribing protocol revealed that some issues persist. In particular, prescribing medication outside an approved list and exceeding specified time limits or maximal scripts before clinical review were problematic. Repeat prescribing encompassed a range of departures of process from minor (such as prescription not available on time) to major (wrong medication). Corrective measures highlighted the importance of both the pharmacist and the patient in error detection. STRATEGIES FOR IMPROVEMENT: Repeat prescribing needs to be recognised as a process potentially fraught with error. Effective practice systems, patient involvement and enhanced pharmacy communication are important contributing factors in reducing error. LESSONS: There is need for robust data regarding error rates in prescribing and the impact of changing prescribing protocols on error rates. KEYWORDS: Medication errors; electronic prescribing
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Citations
Repeat prescribing of medications: A system-centred risk management model for primary care organisations.
TL;DR: The risk management model tested uncovered important safety concerns and facilitated the development and communication of related improvement recommendations that may have potential to close this gap and improve the reliability of general practice systems and patient safety.
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Repeat prescribing in general practice.
TL;DR: Receptionists play an important role, but the safety of different organisational routines needs further study and receptionists' roles need further study.
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'Your lack of organisation doesn't constitute our emergency' - repeat prescription management in general practice.
Belinda Garth,Meredith Temple-Smith,Malcolm Clark,Catherine Hutton,Elizabeth Deveny,Ruby Biezen,Marie Pirotta +6 more
TL;DR: Improvements are needed in the way repeat prescriptions are managed, pointing to a closer examination of general practice systems, the role of practice staff, pharmacists and patients.
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Gastric acid suppressors on inpatients in a Brazilian hospital: overuse and underuse Supressores ácidos gástricos em pacientes de um hospital nacional: utilização abusiva e subutilização
Michelle de Camargo Rocha,Marc Strasser,Maria Luiza Bianco Yanagita,Eliane Ribeiro,Ana Campa +4 more
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TL;DR: The results suggest that the existence of written protocols does not preclude the need of additional strategies to promote rational medicine use, and that the frequency of abusive use of acid suppressors observed was similar to that found in resembling studies performed in other countries.
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Repeat prescribing safety survey
Steven Lillis,Nicki Macklin,Michael Thorn,Emma Wicks,Kristin Good,Liza Lack,Richard Medlicott,Catherine Proffitt,Helen Rodenburg,Vanessa Souter,Pam Duncan,Lucia Bercinskas,Stephanie Fletcher,Alison Molloy +13 more
TL;DR: Better practice systems are likely to improve the safety profile of repeat prescribing and should be addressed, and there is substantial unwanted variability currently in these practice systems.
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