It has been mooted that pharmacists working in hospitals could assume responsibility for prescribing medications to be issued at the time of discharge. A study of conventional (control) prescribing or pharmacist-led prescribing (intervention) has explored this possibility in two phases, including with handwritten prescribing and digital prescribing. The primary outcome was the percentage of patients with a medication error on their discharge prescription. 95% of control patients and 29% in the pharmacist prescribing arm had at least one medication error at discharge (p < 0.0002, RR 0.31, CI 0.16—0.58. Items associated with at least one error reduced from 69 to 4%; p < 0.0001, RR 0.06, CI 0.03—0.11 and fewer items had at least one clinically significant error (11% vs 2%, p = 0.0004, RR 0.15, CI 0.04—0.30). In the second phase (digital prescribing), 100% of control patients and 62% in the intervention arm had at least one medication error (p = 0.005, RR 0.62, CI 0.44—0.87). Items with at least 1 error decreased from 21 to 7% (p < 0.0001, RR 0.34, CI 0.44—0.56), there were fewer items with at least 1 clinically significant error (13% vs 5%, p < 0.003, RR 0.4, CI 0.22—0.72). It seems that this model of practice enhances safety and could also yield other benefits (e.g. cost-effective care and diminished medicolegal liability). See more details here.
Involving pharmacists as prescribers improves prescription accuracy in hospitals
Feb 12, 2021