Arch Dis Child. Published Online First: 15 January 2008. doi:10.1136/adc.2007.127761
Original articles |
Educational interventions to reduce prescribing errors
1 University of Nottingham, United Kingdom
2 Royal College of Paediatrics and Child Health, United Kingdom
3 University of London, United Kingdom
* To whom correspondence should be addressed. E-mail: sharon.conroy{at}nottingham.ac.uk.
Accepted 10 October 2007
Abstract
Objective: Little is known about teaching paediatricians to prescribe and assessing their competency. This study aimed to identify educational interventions to reduce dose calculation errors.
Design: Literature review, questionnaire survey of paediatric healthcare professionals, observation and interviews were performed.
Results: Literature review identified one paper describing an in-service test for medical trainees. 319/559 questionnaires were returned (57%). 34 mentioned educational interventions. 15 centres provided further information on teaching/assessment methods. 13 delivered presentations usually at doctor's induction. Many had a similar format including differences to adult prescribing; common errors and how to calculate doses. Paediatric clinical pharmacists play a significant role in delivering training/competency assessment.
Conclusion: Teaching of paediatric prescribing takes place mostly in the format of lectures during doctor's induction. Few centres assess competency. No validated tool exists. There has been little evaluation of the impact of teaching on competency to prescribe.
Keywords: assessment, calculation errors, competency, dose calculation, prescribing
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