Improving junior doctor medicine prescribing and patient safety: An intervention using personalised, structured, video‐enhanced feedback and deliberate practice

Abstract

Aims: This research investigated the effectiveness of an intervention for improving the prescribing and patient safety behaviour among Foundation Year doctors. The intervention consisted of simulated clinical encounters with subsequent personalised, structured, video-enhanced feedback and deliberate practice, undertaken at the start of four-month sub-specialty rotations. Methods: Three prospective, non-randomised control intervention studies were conducted, within two secondary care NHS Trusts in England. The primary outcome measure, error rate per prescriber, was calculated using daily prescribing data. Prescribers were grouped to enable a comparison between experimental and control conditions using regression analysis. A break-even analysis evaluated costeffectiveness.

Pharmacist‐led, prescription intervention system‐assisted feedback to reduce prescribing errors: A retrospective study

“…Therefore, in the early stages of operation, it is also necessary to cooperate with information personnel to solve these procedural problems. 10,11 Our hospital's evidence-based, pharmacy-based, pre-review model for hospital prescriptions/doctor's orders has gradually comprehensiveness and efficiency of the pre-review of prescriptions/doctor's orders, to significantly increase the qualification rate of prescriptions compared with the rate pre-implementation, and to increase doctors' acceptance and patient satisfaction, which is important for standardizing prescription behaviour, improving prescription quality, and improving pharmacists' skills. 12 The professional skills ensuring the safe and reasonable use of medicines and saving on labour of medical care have an important role in promoting effective health care and patient safety and are worth transferring to other hospitals.…”

Implementation and evaluation of a good prescribing tip email to reduce junior doctors' prescribing errors

“…10,11 However, published data exploring the effect of feedback interventions on prescribing error rates in UK hospitals describe complex interventions combining pharmacist-led feedback with one or more additional educational strategies. [11][12][13][14][15][16][17][18] Methodological differences make it difficult to compare studies and draw robust conclusions about the efficacy of interventions.…”

Response to letter titled, ‘Video feedback in medical education: A student’s perspective’

“…Subject: Response to letter titled, "Video feedback in medical education: a student's perspective" Thank-you for giving us the opportunity to respond to a letter written in response to our article published earlier this year (Patel et al, 2020). We would like to thank the author of the letter for their constructive feedback and ideas for further developing the intervention.…”

“…We would like to thank the author of the letter for their constructive feedback and ideas for further developing the intervention. We have published a related, follow-up article in the British Journal of Clinical Pharmacology (Green et al, 2020) describing the effectiveness of the intervention on prescribing performance in clinical practice at three different centres.…”

“…The intervention was designed collaboratively with patients but also pharmacists, junior doctors, medical educators and human factors experts. Furthermore, we captured patient feedback and communicated this back to participants as a part of the video feedback when the intervention was implemented in practice (Green et al, 2020).…”