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2015 ; 37
(5
): 762-6
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Development and evaluation of a pocket card to support prescribing by junior
doctors in an English hospital
#MMPMID25964139
Reynolds M
; Larsson E
; Hewitt R
; Garfield S
; Franklin BD
Int J Clin Pharm
2015[Oct]; 37
(5
): 762-6
PMID25964139
show ga
BACKGROUND: Junior doctors do most inpatient prescribing, with a relatively high
error rate, and locally had reported finding prescribing very stressful.
OBJECTIVE: To develop an intervention to improve Foundation Year 1 (FY1) doctors'
experience of prescribing, and evaluate their satisfaction with the intervention
and perceptions of its impact. METHODS: Based on findings of a focus group and
questionnaire, we developed a pocket Dose Reference Card ("Dr-Card") for use at
the point of prescribing. This summarised common drugs and dosing schedules and
was distributed to all new FY1 doctors in a London teaching trust. A
post-intervention questionnaire explored satisfaction and perceived impact.
RESULTS: Focus group participants (n = 12) described feeling anxious and time
pressured when prescribing; a quick reference resource for commonly prescribed
drug doses was suggested. Responses to the exploratory questionnaire reinforced
these findings. Following Dr-Card distribution, the post-intervention
questionnaire revealed that 29/38 (76 %) doctors were still using it 2 months
after distribution and 38/38 (100%) would recommend ongoing production.
CONCLUSIONS: FY1 doctors reported feeling stressed and time pressured when
prescribing; this was perceived to contribute to error. A pocket card presenting
common drugs and doses was well-received, perceived to be useful, and recommended
for on-going use.
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