Prevalence and Causes of Prescribing Errors: The PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study

Cristín Ryan, Sarah Ross, Peter Davey, Eilidh M Duncan, Jill J Francis, Shona Fielding, Marie Johnston, Jean Ker, Amanda Jane Lee, Mary Joan MacLeod, Simon Maxwell, Gerard A McKay, James S McLay, David J Webb and Christine Bond

PLOS ONE, 2014, vol. 9, issue 1, 1-9

Abstract: Objectives: Study objectives were to investigate the prevalence and causes of prescribing errors amongst foundation doctors (i.e. junior doctors in their first (F1) or second (F2) year of post-graduate training), describe their knowledge and experience of prescribing errors, and explore their self-efficacy (i.e. confidence) in prescribing. Method: A three-part mixed-methods design was used, comprising: prospective observational study; semi-structured interviews and cross-sectional survey. All doctors prescribing in eight purposively selected hospitals in Scotland participated. All foundation doctors throughout Scotland participated in the survey. The number of prescribing errors per patient, doctor, ward and hospital, perceived causes of errors and a measure of doctors' self-efficacy were established. Results: 4710 patient charts and 44,726 prescribed medicines were reviewed. There were 3364 errors, affecting 1700 (36.1%) charts (overall error rate: 7.5%; F1:7.4%; F2:8.6%; consultants:6.3%). Higher error rates were associated with : teaching hospitals (p

Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0079802

DOI: 10.1371/journal.pone.0079802

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