Ther Clin Risk Manag. 2005 Dec;1(4):333-42.
Prevention of medication errors is a priority for health services worldwide. Pharmacists routinely screen prescriptions for potential problems, including prescribing errors. This study describes prescribing problems reported by community pharmacists and discusses them from an error prevention perspective.
For one month, nine community pharmacists documented prescribing problems, interventions made, and the proximal causes of the problems. The results were presented to local GPs and pharmacists at a meeting and feedback was invited.
For 32 403 items dispensed, pharmacists reported 196 prescribing problems (0.6%). The reporting rates ranged from 0.2%-1.9% between pharmacists and were inversely correlated to dispensing volume. Prescriptions containing incomplete or incorrect information accounted for two-thirds of the problems. Lack of information on the prescriptions and transcribing/typing errors were the most frequently cited proximal causes. A few pitfalls of computerized prescribing were observed.
Although rates of prescribing problems reported were relatively low, community pharmacists and patients remain important safeguards. This study identified potential causes of prescribing errors, and illustrated areas which could be improved in the design of computerized prescribing systems, and the communication and sharing of information between GPs and pharmacists.
预防用药错误是全球卫生服务的重点。药剂师通常会筛选处方以发现潜在问题，包括处方错误。本研究描述了社区药剂师报告的处方问题，并从预防错误的角度对其进行了讨论。
在一个月的时间里，九位社区药剂师记录了处方问题、干预措施以及问题的近端原因。结果在一次会议上呈现给当地的全科医生和药剂师，并邀请他们提供反馈。
在分发的 32403 个项目中，药剂师报告了 196 个处方问题（0.6%）。报告率在药剂师之间的范围为 0.2%-1.9%，与配药量成反比。包含不完整或不正确信息的处方占问题的三分之二。处方信息缺失和转录/打字错误是最常被引用的近端原因。还观察到一些计算机化处方的陷阱。
尽管报告的处方问题发生率相对较低，但社区药剂师和患者仍然是重要的保障。本研究确定了处方错误的潜在原因，并说明了在计算机化处方系统的设计以及全科医生和药剂师之间的信息交流和共享方面可以改进的领域。
