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Br J Clin Pharmacol. 2002 Mar;53(3):326-31.

Hospital prescribing errors: epidemiological assessment of predictors.

Author information

1
Groningen University Institute for Drug Exploration (GUIDE), University of Groningen, Department of Social Pharmacy and Pharmacoepidemiology, Groningen, The Netherlands. R.Fijn@apoth.azg.nl

Abstract

AIMS:

To demonstrate an epidemiological method to assess predictors of prescribing errors.

METHODS:

A retrospective case-control study, comparing prescriptions with and without errors.

RESULTS:

Only prescriber and drug characteristics were associated with errors. Prescriber characteristics were medical specialty (e.g. orthopaedics: OR: 3.4, 95% CI 2.1, 5.4) and prescriber status (e.g. verbal orders transcribed by nursing staff: OR: 2.5, 95% CI 1.8, 3.6). Drug characteristics were dosage form (e.g. inhalation devices: OR: 4.1, 95% CI 2.6, 6.6), therapeutic area (e.g. gastrointestinal tract: OR: 1.7, 95% CI 1.2, 2.4) and continuation of preadmission treatment (Yes: OR: 1.7, 95% CI 1.3, 2.3).

CONCLUSIONS:

Other hospitals could use our epidemiological framework to identify their own error predictors. Our findings suggest a focus on specific prescribers, dosage forms and therapeutic areas. We also found that prescriptions originating from general practitioners involved errors and therefore, these should be checked when patients are hospitalized.

PMID:
11874397
PMCID:
PMC1874319
[Indexed for MEDLINE]
Free PMC Article

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