Cardiff University Medical School, Cardiff, UK.
Arch Dis Child. 2010 Mar;95(3):219-21. doi: 10.1136/adc.2008.156042. Epub 2009 Nov 29.
Prescribing errors complicate a significant number of paediatric admissions. Ongoing training and monitoring of prescribing competency in junior doctors has occurred in Cardiff since 2001, alongside national measures aimed at improving training and competency.
Ongoing monitoring of junior doctors' prescribing competency to assess the effect of these national and local initiatives.
Junior doctors receive training and subsequent assessment on prescribing competency at induction. A 1 h bleep-free session concerning paediatric prescribing precedes completion of four prescribing tasks. British National Formulary for children and calculators are provided. Those scoring 0 or 1 are retrained before prescribing is permitted. Our previously published data of doctors between 2001 and 2004 was compared with assessment in 2007.
30 junior doctors were assessed in 2007 (32 in 2001-2004). All four questions were answered correctly by 22/30, compared to 10/32 (31%) in 2001-2004. The mean score in 2007 was 93.3% compared to 57.8% previously (see table 1). Comparison of means with previous results demonstrated statistically significant improvement with a mean difference of 36% (95% CI 24 to 47). In 2007, eight (27%) doctors got just one question wrong and no doctor answered all questions incorrectly. In 2001-2004, 22/32 (67%) made at least one error during previous assessment, and one doctor answered all questions incorrectly. Table 1Prescribing assessment scores in 2001-2004 and 2007 Answer scores2001-2004 (n=32)2007 (n=30)All questions correct10 (31%)22 (73%)One incorrect08 (27%)Two incorrect13 (41%)0Three incorrect8 (25%)0All questions incorrect1 (3%)0
Ongoing monitoring of junior doctors' prescribing ability has demonstrated improvements which may be due to local and national training initiatives.
在儿科住院患者中，处方错误较为常见。自 2001 年以来，卡迪夫一直在对初级医生的处方能力进行持续培训和监测，同时还采取了旨在提高培训和能力的国家措施。
对初级医生的处方能力进行持续监测，以评估这些国家和地方举措的效果。
初级医生在入职时接受处方能力培训和后续评估。在完成四项处方任务之前，先进行一次 1 小时无呼机的儿科处方培训课程。提供了儿童用英国国家处方集和计算器。得分 0 或 1 的人在允许处方之前需要重新培训。我们之前发表的 2001 年至 2004 年的数据与 2007 年的评估进行了比较。
2007 年评估了 30 名初级医生（2001-2004 年评估了 32 名医生）。与 2001-2004 年的 10/32（31%）相比，有 22/30 的医生正确回答了所有四个问题。2007 年的平均得分为 93.3%，而之前为 57.8%（见表 1）。与之前的结果进行均值比较表明，差异具有统计学意义，平均差异为 36%（95%置信区间 24 至 47）。2007 年，有 8 名（27%）医生只答错了一个问题，没有医生答错所有问题。在 2001-2004 年，32 名医生中有 22 名（67%）在之前的评估中至少犯了一个错误，有 1 名医生答错了所有问题。
表 1 2001-2004 年和 2007 年的处方评估得分
2001-2004 年（n=32）
2007 年（n=30）
所有问题正确
10（31%）
22（73%）
一个错误
0
8（27%）
两个错误
13（41%）
0
三个错误
8（25%）
0
所有问题错误
1（3%）
0
