The quality of prescription writing has been evaluated in respect of standards of good practice. ... more The quality of prescription writing has been evaluated in respect of standards of good practice. Among the 44 medical departments of a university hospital, 39 agreed to participate in the study. A sample of 30 patients from each participating department was randomized out of one year's hospital stays; 790 patient records were relevant and have been analysed. The patient's identification was completed in 39.1 +/ 3.4 per cent. THe prescriptor was properly identified by name and signature in 7.2 +/ 1.8 per cent of prescriptions studied. Only 8.9 +/ 2.1 per cent of prescriptions contained the required information for each medication. Results of this study have been sent to all hospital physicians with recommendations for good prescription practice. This evaluation constitutes the first stage of a quality process based on the awareness and information of concerned actors and follow up of specific indicators.
To evaluate the quality of prescription writing at a university hospital in France. Each of the 4... more To evaluate the quality of prescription writing at a university hospital in France. Each of the 42 medical, surgical, and intensive-care departments were invited to participate in the study. The initial medication orders were reviewed for 866 patients, resulting in 3,254 medications prescribed. One prescription per patient was reviewed for a total of 866 patients, presenting 3,254 medications. Of the 866 prescriptions reviewed, 95.5% were dated. Patient identification was complete in 35.3%. The prescriber was identified properly by both full name and signature in 7.5% of prescriptions. Medication information was complete in only 24% of cases. This study showed that prescriptions were not written correctly. Results of this study have been disseminated, and education has begun on proper prescription practice.
The aim of this study was to assess pharmacist's clinical activities in an internal medicine ... more The aim of this study was to assess pharmacist's clinical activities in an internal medicine department where drug prescription is computerized. Clinical pharmacy services are provided directly in this department; recommendations are made for prescriptions when needed. During this 6 month study, 31 % (795) modifications of drug prescriptions lead to the pharmacist's intervention. These contain an average of 2.5 lines long. Three points were evaluated: modification (on dosage, form...), substitution of drug on the initial prescription, drug treatment's supervision. The pharmacist's recommendation was accepted in 65 % of the case. Computerized drug prescription allows immediate pharmaceutical intervention as soon as the patient comes into the department and as long as he stays. The pharmacist's role seems to be essential to improve the quality of drug prescription. The authors also noted that clinical pharmacy lead to a transfer of competence, taking into account t...
The true incidence of adverse drug events is controversial and there are few data concerning the ... more The true incidence of adverse drug events is controversial and there are few data concerning the percentage of potentially preventable adverse drug events. Over 2 months, in two internal medicine units, we asked the staff to report adverse drug events. All incidents were evaluated: adverse drug events (preventable and non-preventable) and potential adverse drug events (non-intercepted potential adverse drug events and intercepted potential adverse drug events). The severity, the stage in the process at which the error occurred and the type of error were evaluated by a physician reviewer. Over the 240 admissions, the incidence of adverse drug events is 18 per 1000 patient-days. The system design caused 77 per cent of the incidents. The medication errors occurred at all stages from ordering to administration. Adverse drug events resulting in medication errors (n = 22) were more serious than non-preventable adverse drug events (n = 26) (p = 0.003). A prevention strategy by pharmacovigi...
The quality of prescription writing has been evaluated in respect of standards of good practice. ... more The quality of prescription writing has been evaluated in respect of standards of good practice. Among the 44 medical departments of a university hospital, 39 agreed to participate in the study. A sample of 30 patients from each participating department was randomized out of one year's hospital stays; 790 patient records were relevant and have been analysed. The patient's identification was completed in 39.1 +/ 3.4 per cent. THe prescriptor was properly identified by name and signature in 7.2 +/ 1.8 per cent of prescriptions studied. Only 8.9 +/ 2.1 per cent of prescriptions contained the required information for each medication. Results of this study have been sent to all hospital physicians with recommendations for good prescription practice. This evaluation constitutes the first stage of a quality process based on the awareness and information of concerned actors and follow up of specific indicators.
To evaluate the quality of prescription writing at a university hospital in France. Each of the 4... more To evaluate the quality of prescription writing at a university hospital in France. Each of the 42 medical, surgical, and intensive-care departments were invited to participate in the study. The initial medication orders were reviewed for 866 patients, resulting in 3,254 medications prescribed. One prescription per patient was reviewed for a total of 866 patients, presenting 3,254 medications. Of the 866 prescriptions reviewed, 95.5% were dated. Patient identification was complete in 35.3%. The prescriber was identified properly by both full name and signature in 7.5% of prescriptions. Medication information was complete in only 24% of cases. This study showed that prescriptions were not written correctly. Results of this study have been disseminated, and education has begun on proper prescription practice.
The aim of this study was to assess pharmacist's clinical activities in an internal medicine ... more The aim of this study was to assess pharmacist's clinical activities in an internal medicine department where drug prescription is computerized. Clinical pharmacy services are provided directly in this department; recommendations are made for prescriptions when needed. During this 6 month study, 31 % (795) modifications of drug prescriptions lead to the pharmacist's intervention. These contain an average of 2.5 lines long. Three points were evaluated: modification (on dosage, form...), substitution of drug on the initial prescription, drug treatment's supervision. The pharmacist's recommendation was accepted in 65 % of the case. Computerized drug prescription allows immediate pharmaceutical intervention as soon as the patient comes into the department and as long as he stays. The pharmacist's role seems to be essential to improve the quality of drug prescription. The authors also noted that clinical pharmacy lead to a transfer of competence, taking into account t...
The true incidence of adverse drug events is controversial and there are few data concerning the ... more The true incidence of adverse drug events is controversial and there are few data concerning the percentage of potentially preventable adverse drug events. Over 2 months, in two internal medicine units, we asked the staff to report adverse drug events. All incidents were evaluated: adverse drug events (preventable and non-preventable) and potential adverse drug events (non-intercepted potential adverse drug events and intercepted potential adverse drug events). The severity, the stage in the process at which the error occurred and the type of error were evaluated by a physician reviewer. Over the 240 admissions, the incidence of adverse drug events is 18 per 1000 patient-days. The system design caused 77 per cent of the incidents. The medication errors occurred at all stages from ordering to administration. Adverse drug events resulting in medication errors (n = 22) were more serious than non-preventable adverse drug events (n = 26) (p = 0.003). A prevention strategy by pharmacovigi...
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