A Rapid Review of Prescribing Education Interventions
- PDF / 633,708 Bytes
- 17 Pages / 595.276 x 790.866 pts Page_size
- 71 Downloads / 162 Views
REVIEW
A Rapid Review of Prescribing Education Interventions Usmaan Omer 1
&
Evangelos Danopoulos 1 & Martin Veysey 1 & Paul Crampton 1 & Gabrielle Finn 1
Accepted: 15 October 2020 # The Author(s) 2020
Abstract Introduction Many studies conducted on the causes and nature of prescribing errors have highlighted the inadequacy of teaching and training of prescribers. Subsequently, a rapid review was undertaken to update on the nature and effectiveness of educational interventions aimed at improving the prescribing skills and competencies. Methods Twenty-two studies taking place between 2009 and 2019 were identified across nine databases. Results and Discussion This review reinforced the importance of the WHO Guide to Good Prescribing to prescribing curriculum design as well as the effectiveness of small group teaching. However, it also highlighted the lack of innovation in prescribing education and lack of longitudinal follow-up regarding the effectiveness of prescribing education interventions. Keywords Prescribing education . Medical students . Non-medical prescribers: curriculum design . WHO Guide to Good Prescribing
Introduction Over time, deficiencies in prescribing education, such as a lack of practical prescribing training, a lack of linking theory to practice and the affordance of little attention towards generic prescribing skills, have led to the increasing emergence of prescribing errors [1]. A prescribing error is defined: “a clinically meaningful prescribing error occurring when... there is an unintentional significant reduction in the probability of treatment being timely and effective or increase in the risk of harm when compared with generally accepted practice” [2]. Errors in the prescription of medicines are currently one of the biggest dilemmas facing medicine and healthcare. Numerous studies have been conducted based upon prescribing errors and their impact on patient safety [3–5]. Adverse drug effects (ADEs) are found to be one of the main causes of injury to hospitalised patients [6], with over half of all prescribing errors considered as potentially harmful to patients, and 7.3% of these errors leading to life-threatening consequences [7].
* Usmaan Omer [email protected] 1
Health Professions Education Unit, Hull York Medical School, University of York, York YO10 5DD, UK
Previously, only doctors and dentists held the legal authority to prescribe prescription-only medicines; however, this situation recently began to change globally, with either pharmacists or nurses or both obtaining the authority to prescribe independently [8]. The United Kingdom (UK) provides the most extensive rights to pharmacists and nurses, where doctors and dentists are known as medical prescribers (MPs) and other healthcare professionals who prescribe are known as non-medical prescribers (NMPs) [9]. The rationale of this development was to provide patients with quicker access to medicines. Not only would this decrease a very heavy workload within general practice but would also widen the use of the skills of pharma
Data Loading...
