Evaluation of a modified prescription form to address prescribing errors

Kennedy, Amanda G.; Littenberg, Benjamin; Callas, Peter W.; Carney, Jan K.
January 2011
American Journal of Health-System Pharmacy;1/15/2011, Vol. 68 Issue 2, p151
Academic Journal
Purpose. The impact of a modified paper prescription form on the occurrence of prescribing errors was evaluated. Methods. Rural primary care providers practicing in the United States who wrote paper prescriptions in English were eligible for study participation. The prescribers agreed to use only the prescription pads provided to them during the study. The study prescription pads contained 50 prescription forms, each with a duplicate. Each prescription and duplicate contained a unique serial number for data identification purposes. When a prescriber wrote a prescription, the original was provided to the patient per usual practice, and the duplicate was retained as the study data. Two prescription pads contained modified forms and two prescription pads were similar to the prescription pads the prescriber had been using. Providers completed 100 standard and 100 modified prescriptions. Pharmacist consultants reviewed each prescription for the presence or absence of errors. The primary outcome measure was the number of errors. Secondary outcomes were risk differences between standard and modified prescription forms for various error types. Results. Of the 327 prescribers who were eligible and expressed interest in the study, 111 started the study and 84 completed the study. A total of 16,061 prescriptions were eligible for analysis. Pharmacists identified at least one prescribing problem in 987 prescriptions (6.1%). Modified prescription forms were associated with significantly more prescribing problems than standard prescription forms (odds ratio, 1.85; 95% confidence interval, 1.5-2.2; p < 0.001). Conclusion. Modified prescription forms were associated with more errors than were standard prescription forms in a sample of rural prescribers.


Related Articles

  • Do educational meetings and group detailing change adherence to drug formularies in hospitals? A cluster randomized controlled trial. Plet, Hanne; Kjeldsen, Lene; Christensen, RenĂ©; Nielsen, Gitte; Hallas, Jesper // European Journal of Clinical Pharmacology;Jan2014, Vol. 70 Issue 1, p109 

    Purpose: The aim of this study was to examine whether educational meetings and group detailing could increase the use of drugs from the ward lists or the drug formulary in hospitals. Methods: Twelve medical wards from two hospitals were randomized into three groups: control, basic and extended...

  • Formalized prescribing error feedback from hospital pharmacists: doctors' attitudes and opinions. Lloyd, M.; Watmough, S.D.; O'Brien, S.V. // British Journal of Hospital Medicine (17508460);Dec2015, Vol. 76 Issue 12, p713 

    The article discusses ways to improve the specificity, sensitivity and accuracy of Hospital Episode Statistics (HES) in Great Britain. Topics covered include Cohen's kappa index of HES codes for different comorbidities, the importance of better documentation in clerking proforma to improve the...

  • Addition of electronic prescription transmission to computerized prescriber order entry: Effect on dispensing errors in community pharmacies. Moniz, Thomas T.; Seger, Andrew C.; Keohane, Carol A.; Seger, Diane Lew; Bates, David W.; Rothschild, Jeffrey M. // American Journal of Health-System Pharmacy;1/15/2011, Vol. 68 Issue 2, p158 

    Purpose. The addition of electronic prescription transmission to computerized prescriber order entry (CPOE) and its effect on dispensing errors in community pharmacies were evaluated. Methods. A controlled, before-and-after trial to measure the effect of electronic prescribing on dispensing...

  • In case you haven't heard...  // Primary Care Weekly;3/10/97, Vol. 3 Issue 10, p8 

    Details the advice from a physician for his patients to present all prescription and over-the-counter medicines in their possession to a physician to avoid the danger of taking multiple drugs that are incompatible.

  • High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. Guthrie, Bruce; McCowan, Colin; Davey, Peter; Simpson, Colin R.; Dreischulte, Tobias; Barnett, Karen // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;6/25/2011, Vol. 342 Issue 7812, p1406 

    Objective: To examine the prevalence and patterns of high risk prescribing, defined as potentially inappropriate prescribing of drugs to primary care patients particularly vulnerable to adverse drug events.Design: Cross sectional population database...

  • Potentially inappropriate medication use: the Beers' Criteria used among older adults with depressive symptoms. Lee, Daphne; Martini, Nataly; Moyes, Simon; Hayman, Karen; Zolezzi, Monica; Kerse, Ngaire // Journal of Primary Health Care;Sep2013, Vol. 5 Issue 3, p182 

    INTRODUCTION: The ageing population means prescribing for chronic illnesses in older people is expected to rise. Comorbidities and compromised organ function may complicate prescribing and increase medication-related risks. Comorbid depression in older people is highly prevalent and complicates...

  • Poor monitoring and processes are responsible for errors in one in 20 GP prescriptions, report shows. Torjesen, Ingrid // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;5/5/2012, Vol. 344 Issue 7855, p1 

    The article reports the findings of a study by the General Medical Council in Great Britain that poor monitoring and processes are responsible for errors in one in twenty general practitioner (GP) prescriptions. It is not doctors knowledge about drugs that is responsible for most errors but...

  • An ounce of prevention... Petitte, Karen // Modern Physician;Apr2000, Vol. 4 Issue 4, p36 

    Editorial. Cites the potential of using computerized prescription ordering systems to prevent medical errors. Details on the outcome of a trial on the system; How the device works; Advantages of using the system.

  • The write way.  // New Hampshire Business Review;12/01/2000, Vol. 22 Issue 25A, p3 

    Focuses on the strategies of hospitals in New Hampshire to prevent medication errors due to the illegibility of physicians' handwritings. Printout of the prescription; Amendment of the medical staff bylaws to ensure legible documents.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics