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首页> 外文期刊>BMC Health Services Research >Prescribing errors in electronic prescriptions for outpatients intercepted by pharmacists and the impact of prescribing workload on error rate in a Chinese tertiary-care women and children’s hospital
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Prescribing errors in electronic prescriptions for outpatients intercepted by pharmacists and the impact of prescribing workload on error rate in a Chinese tertiary-care women and children’s hospital

机译：药剂师拦截的门诊病人的电子处方的规定错误以及规定工作量对中国第三级妇女和儿童医院错误率的影响

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BACKGROUND:Prescribing errors may, influenced by some risk factors, cause adverse drug events. Most studies in this field focus on errors in prescriptions for hospital inpatients, with only a few on those for outpatients. Our study aimed to explore the incidence of prescribing errors in electronic prescriptions and illustrate the trend of prescribing workload and error rate over time.METHODS:The cross-section study was performed between September, 2015 and November, 2015. Prescribing errors were intercepted by pharmacists using a prescription reviewing system under which prescriptions with errors were transferred to a specific computer and recorded by another pharmacist and the incidence of total prescribing errors and severe errors was then calculated. A subgroup analysis was conducted in accordance to the number of drug orders, the age group of patients, the seniority of physicians, the specialty of physicians, the working day when prescriptions were issued, and the prescribing workload of physicians. A time-series analysis was employed to analyze the trend of prescribing workload and error rate, and the correlation between them.RESULTS:Totally, 65,407 patients were included in this study and 150,611 prescriptions with 294,564 drug orders (including 584 different drugs) were reviewed for identification of errors. A total of 534 prescribing errors (an error rate of 0.34%) were identified. Severe errors accounted for 13.62% of total errors. The subgroup analysis showed prescriptions of multiple drug orders, for pediatric patients aged 29?days to 12?years, from physicians specializing in ophthalmology and otorhinolaryngology, or prescribing on weekdays were more susceptible to errors. A time-series analysis demonstrated no correlation between prescribing workload and error rate which increased at the end of each working shift while prescribing workload decreased.CONCLUSION:Less than 1% of the studied prescriptions came with errors among which one in seven were severe ones. But prescribing errors were in no relation to workloads. What's more, further studies are needed to investigate pharmacist-led intervention to reduce prescribing errors.
机译：背景：处方误差可能受到某种危险因素的影响，导致药物不良事件。大多数研究该领域的研究侧重于医院住院患者处方的错误，只有少数门诊患者的误差。我们的研究旨在探讨电子处方规定错误的发病率，并阐述了按时规定工作量和错误率的趋势。方法：2015年9月和2015年11月之间进行了横截面研究。药剂师拦截规定错误使用处方审查系统，在该处方审查系统下，将具有错误的处方被转移到特定计算机上并被另一种药剂师记录，然后计算出总处方误差和严重误差的发生率。亚组分析根据毒品秩序，患者年龄组，医生的资历，医师专业，出售处方的工作日，以及医生的规定工作量。采用时间序列分析来分析规定工作量和错误率的趋势，以及它们之间的相关性。结果：完全，65,407名患者纳入本研究，综述了150,611名患有294,564名药品（包括584种不同药物）的处方用于识别错误。鉴定了总共534个规定误差（错误率为0.34％）。严重错误占总错误的13.62％。亚组分析显示出多个毒品订单的处方，儿科患者，年龄在29岁以下的儿科患者到12年？几年，来自专门从病的医生和耳鼻喉科学，或在平日的处方更容易受到错误。时间序列分析证明了规定工作量和错误率之间的相关性，在每个工作班次的末尾增加，同时规定工作量减少。结论：小于1％的研究处方具有错误，其中七个是严重的误差。但规定错误与工作负载无关。更重要的是，需要进一步的研究来调查药剂师LED干预以降低规定误差。

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