Can a novel constructivist theory-informed feedback intervention reduce prescribing errors ? A pre-post study

被引:3
|
作者
Coombes, Ian [1 ,6 ]
Donovan, Peter [2 ,3 ]
Bullock, Brooke [4 ]
Mitchell, Charles [1 ]
Noble, Christy [5 ]
机构
[1] Univ Queensland, Sch Pharm, 20 Cornwall St, Woolloongabba, Qld 4102, Australia
[2] Royal Brisbane & Womens Hosp, Clin Pharmacol, Butterfield St, Herston, Qld 4029, Australia
[3] Univ Queensland, Sch Med, Herston, Qld 4029, Australia
[4] Gold Coast Hosp & Hlth Serv, 1 Hosp Blvd, Southport, Qld 4215, Australia
[5] Univ Queensland, Acad Med Educ, Med Sch, Herston, Qld 4006, Australia
[6] Royal Brisbane & Womens Hosp, Pharm Dept, Butterfield St, Brisbane, Qld 4029, Australia
关键词
JUNIOR DOCTORS; MEDICATION ERRORS; PHARMACISTS; PRESCRIPTIONS; STUDENTS; SAFETY;
D O I
10.1186/s12909-023-04095-6
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Context Medical interns (interns) find prescribing challenging and many report lacking readiness when commencing work. Errors in prescribing puts patients' safety at risk. Yet error rates remain high, despite education, supervision and pharmacists' contributions. Feedback on prescribing may improve performance. Yet, work-based prescribing feedback practices focus on rectifying errors. We aimed to explore if prescribing can be improved using a theory-informed feedback intervention.Methods In this pre-post study, we designed and implemented a constructivist-theory informed prescribing feedback intervention, informed by Feedback-Mark 2 Theory. Interns commencing internal medicine terms in two Australian teaching hospitals were invited to engage in the feedback intervention. Their prescribing was evaluated by comparing errors per medication order of at least 30 orders per intern. Pre/baseline (weeks 1-3) were compared with post intervention (weeks 8-9). Interns' baseline prescribing audit findings were analysed and discussed at individualised feedback sessions. These sessions were with a clinical pharmacologist (Site 1) and a pharmacist educator (Site 2).Results Eighty eight intern's prescribing over five 10-week terms was analysed from two hospitals. The frequency of prescribing errors significantly reduced at both sites after the intervention, across all five terms (p < 0.001).There were initially 1598 errors in 2750 orders (median [IQR] 0.48 [0.35-0.67] errors per order) and after the intervention 1113 errors in 2694 orders (median [IQR] 0.30 [0.17-0.50] errors per order).Conclusion Our findings suggest interns' prescribing practices may improve as a result of constructivist -theory learner centred, informed feedback with an agreed plan. This novel intervention, contributed, to a reduction in interns' prescribing errors. This study suggests new strategies for improving prescribing safety should include the design and implementation of theory-informed feedback interventions.
引用
收藏
页数:8
相关论文
共 44 条
  • [31] Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents
    Cédric Lanier
    Melissa Dominicé Dao
    Patricia Hudelson
    Bernard Cerutti
    Noëlle Junod Perron
    BMC Family Practice, 18
  • [32] Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents
    Lanier, Cedric
    Dao, Melissa Dominice
    Hudelson, Patricia
    Cerutti, Bernard
    Perron, Noelle Junod
    BMC FAMILY PRACTICE, 2017, 18
  • [33] School Lunch Programs and Nutritional Education Improve Knowledge, Attitudes, and Practices and Reduce the Prevalence of Anemia: A Pre-Post Intervention Study in an Indonesian Islamic Boarding School
    Rimbawan, Rimbawan
    Nurdiani, Reisi
    Rachman, Purnawati Hustina
    Kawamata, Yuka
    Nozawa, Yoshizu
    NUTRIENTS, 2023, 15 (04)
  • [34] Can A Complex Online Intervention Improve Cancer Nurses' Pain Screening and Assessment Practices? Results from a Multicenter, Pre-post Test Pilot Study
    Phillips, Jane L.
    Heneka, Nicole
    Hickman, Louise
    Lam, Lawrence
    Shaw, Tim
    PAIN MANAGEMENT NURSING, 2017, 18 (02) : 75 - 89
  • [35] A web-based educational intervention to implement trauma-informed care in a paediatric healthcare setting: protocol for a feasibility study using pre-post mixed methods design
    Simons, Megan
    De Young, Alexandra
    McPhail, Steven M.
    Harvey, Gillian
    Kenardy, Justin
    Kularatna, Sanjeewa
    Kimble, Roy
    Tyack, Zephanie
    PILOT AND FEASIBILITY STUDIES, 2020, 6 (01)
  • [36] A web-based educational intervention to implement trauma-informed care in a paediatric healthcare setting: protocol for a feasibility study using pre-post mixed methods design
    Megan Simons
    Alexandra De Young
    Steven M. McPhail
    Gillian Harvey
    Justin Kenardy
    Sanjeewa Kularatna
    Roy Kimble
    Zephanie Tyack
    Pilot and Feasibility Studies, 6
  • [37] Short-term outcome of personalized theory-based pharmaceutical care service on the medication administration problems of family caregivers: a pre-post intervention study
    Baycar, Zehra Betul Kingir
    Sancar, Mesut
    Ay, Pinar
    Demirtunc, Refik
    Nuhoglu, Cagatay
    Misirli, Cemile H.
    Okuyan, Betul
    INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, 2025, 47 (01) : 187 - 195
  • [38] An Intervention Program to Reduce Medication-Related Problems Among Polymedicated Home-Dwelling Older Adults (OptiMed): Protocol for a Pre-Post, Multisite, Pilot, and Feasibility Study
    Pereira, Filipa
    Dixe, Maria dos Anjos
    Pereira, Sonia Goncalves
    Meyer-Massetti, Carla
    Verloo, Henk
    JMIR RESEARCH PROTOCOLS, 2023, 12
  • [39] Can dedicated emergency team and area for older people reduce the hospital admission rate? - An observational pre- and post-intervention study
    Liu, Jenny
    Palmgren, Therese
    Ponzer, Sari
    Masiello, Italo
    Farrokhnia, Nasim
    BMC GERIATRICS, 2021, 21 (01)
  • [40] Can dedicated emergency team and area for older people reduce the hospital admission rate? - An observational pre- and post-intervention study
    Jenny Liu
    Therese Palmgren
    Sari Ponzer
    Italo Masiello
    Nasim Farrokhnia
    BMC Geriatrics, 21