Thursday 10 January 2013

Is experience important?


On the subject of prescriptions, the answer might be NO? BMJ OPEN has an interesting paper on prescription errors in UK hospitals [http://bmjopen.bmj.com/content/3/1/e002036.full.pdf+html]. Of 4238 prescriptions evaluated, one or more error was observed in 1857 (43.8%) prescriptions. Of these, 1264 (41.9%) were minor, 1629 (54.1%) were significant, 109 (3.6%) were serious and 9 (0.30%) were potentially life threatening. It shouldn’t be terribly surprising that such errors can happen, but what was surprising was the fact that grade was not a significant predictor of errors being made. The paper contains lots of information about the factors influencing errors (e.g., number of medications), but the question as to why prescriber experience does not seem to be important is not fully explored. It sounds like this could be a great PhD these for a cognitive psychologist. 

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