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Improving prescription quality in an in-patient mental health unit: three cycles of clinical audit

  • Priti Ved (a1) and Tim Coupe (a2)
Abstract
Aims and Method

We undertook three cycles of clinical audit of prescription charts to improve the quality of the prescriptions written in an in-patient unit. Pharmacy and medical staff reviewed a total of 1466 prescriptions on 242 prescription charts against local guidelines and provided feedback to medical staff. The pharmacist also regularly reviewed prescription charts on the wards between audits.

Results

After three cycles of audit, 99.5% of prescriptions written were legible. The recording of drug allergies, section 58 status and patient age remained poor.

Clinical Implications

A combination of clinical audit and continual pharmacist review of prescription charts can improve the quality of prescriptions written by medical staff in an in-patient unit.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Fowlie, F., Bennie, M., Jardine, G., et al (2000) Evaluation of an electronic prescribing and administration system in a British hospital. Pharmaceutical Journal, 265, 16.
Healthcare Commission (2007) Talking about medicines: The management of medicines in trusts providing mental health services. http://www.healthcarecommission.org.uk/_db/_documents/Talking_about_medicines_mental_health_trust_report_200701113216.pdf
Hronek, C. & Bleich, M. (2002) The less than perfect medication system: a systems approach to improvement. Journal of Nursing Care Quality, 16, 1722.
National Institute for Clinical Excellence (2002) Principles for Best Practice in Clinical Audit. Radcliffe Medical Press.
Nirodi, A. & Mitchell, A. (2002) The quality of psychotropic drug prescribing in patients in psychiatric units for the elderly. Aging and Mental Health, 6, 191196.
Tuthill, A., Wood, K. & Cavell, G. (2004) An audit of drug allergy documentation on inpatient drug charts. Pharmacy World and Science, 26, a48.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Improving prescription quality in an in-patient mental health unit: three cycles of clinical audit

  • Priti Ved (a1) and Tim Coupe (a2)
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