Abstract
AIMS and MethodAn audit of in-patient prescription and administration records on acute psychogeriatric wards in a teaching hospital measured the extent of conformity to NHS trust drug policy and improvements following specific interventions. The audit also measured doctors' knowledge of the trust drug policy. Prescription cards of all patients present on the wards were re-audited after 12 months.ResultsThe audit identified important shortcomings in prescription writing, recording and policy awareness. A targeted series of interventions resulted in significant improvements in some of these areas.Clinical ImplicationsContinuous evaluation and feedback via audit can reduce omissions in prescription writing and recording.
Highlights
A targeted series of interventions resulted in significant improvements in some of these areas
Bates et al (1995) reported 6.5 adverse drug events per 100 patients admitted to a Boston hospital, over a quarter of which were preventable
Drug errors are an important cause of morbidity, accounting for one-fifth of the deaths due to adverse drug events, and are becoming an increasingly common subject for litigation (Ferner, 1995)
Summary
An audit of in-patient prescription and administration records on acute psychogeriatric wards in a teaching hospital measured the extent of conformity to NHS trust drug policy and improvements following specific interventions. The audit measured doctors' knowledge of the trust drug policy. Prescription cards of all patients present on the wards were re-audited after 12 months
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