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An evaluation of pharmacist-written hospital discharge prescriptions on general surgical wards

机译：药剂师撰写的普通外科病房出院处方评估

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To evaluate the quality of pharmacist-written hospital discharge prescriptions (DPs) in comparison to those written by doctors.Method The study was carried out in two, week-long phases on the general surgical wards in one UK hospital. In phase 1, doctors wrote the DPs, which were then checked by the ward pharmacist. In phase 2, ward pharmacists wrote the DPs which were then checked by the patient's junior doctor. In both phases, the clinical dispensary pharmacist made their routine check of the prescription prior to dispensing. All interventions were recorded on a pre-piloted data collection form.Key findings In phase 1, doctors wrote 128 DPs; in phase 2, pharmacists wrote 133 DPs. There were 755 interventions recorded during phase 1 in comparison to 76 during phase 2. In phase 1, transcription errors accounted for 118 interventions, 149 were due to ambiguity/illegibility; 488 amendments were to facilitate the dispensing process e.g. clarification of patient, medical and drug details, and dosage form discrepancies. In phase 2, transcription errors accounted for one intervention, 50 interventions were due to ambiguities or illegibility; 25 amendments were to facilitate the dispensing process. During phase 2, doctors made 10 minor alterations to pharmacist-written DPs. On 52 occasions during phase 2, the ward pharmacist had to clarify, prior to writing the DP, either the dose of a drug, or, whether a drug should be continued on discharge, and if so, for what duration.Conclusion Pharmacist-written DPs contained considerably fewer errors, omissions and unclear information in comparison to doctor-written DPs. Doctors recorded no significant alterations when validating pharmacist-written DPs.
机译：为了评估药剂师撰写的医院出院处方与医生撰写的出院处方的质量。方法该研究在英国一家医院的普通外科病房中进行了为期两周，为期两周的研究。在第1阶段，医生写了DP，然后由病房药剂师检查。在阶段2中，病房药剂师编写了DP，然后由患者的初级医生检查了DP。在这两个阶段中，临床配药师都会在配药之前对处方进行例行检查。所有干预措施均记录在预先试行的数据收集表中。主要发现在第一阶段，医生写了128张DP。在第2阶段，药剂师撰写了133张DP。第一阶段记录了755项干预措施，而第二阶段则记录了76项干预措施。在第一阶段，转录错误占118项干预措施，其中149项是由于歧义/难以辨认。 488条修正案旨在促进分配过程，例如阐明患者，医疗和药物详细信息以及剂型差异。在阶段2中，转录错误占一种干预，其中50种干预是由于歧义或难以辨认。 25项修订旨在促进分配过程。在第2阶段，医生对药剂师撰写的DP进行了10次小改动。在第2阶段中，病房药剂师必须在52次场合下在撰写DP表格之前澄清药物的剂量，或者是否应在出院时继续服用药物，以及如果持续服用，应持续多长时间。与医生编写的DP相比，DP包含的错误，遗漏和信息不明确的数量要少得多。验证药剂师撰写的DP时，医生没有发现明显的改变。

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