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[Correct documentation of drug prescriptions].

作者信息

Schousboe L P, Tandrup O

机构信息

Vejle Sygehus, øre-naese-hals-afdelingen.

出版信息

Ugeskr Laeger. 1999 Aug 2;161(31):4389-92.

PMID:10487102
Abstract

The present study was undertaken to investigate and minimize possible differences in doctors' and nurses' documentation of drug prescriptions. A retrospective medical audit including 100 patients receiving medication revealed 69% correct prescriptions in doctors' case records. Only 44% of prescriptions in nurses' drug lists were correct. Based on the exposed problems a prescription sheet and clinical guidelines for medication were developed and implemented in the department. This resulted in 91% correct prescriptions in a comparable group of 100 patients receiving medication, a highly significant improvement. Among prescriptions signed by a doctor as legally requested, 98% were correct. The prescription sheet also served as an updated survey of medication. No health-threatening prescription errors were disclosed in either group. In conclusion, a common prescription sheet significantly improved the quality of drug prescriptions.

摘要

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