Pharmacist-Led Intervention Reduces Medical Errors

Intervention includes feedback, educational outreach, dedicated support and is cost-effective

TUESDAY, Feb. 21 (HealthDay News) -- For clinics with computerized medical records, a pharmacist-led intervention significantly reduces the risk of medical errors and is likely to be cost-effective, according to a study published online Feb. 21 in The Lancet.

Anthony J. Avery, M.D., from Queen's Medical Centre in Nottingham, U.K., and colleagues randomly assigned 72 general practices, comprising 480,942 at-risk patients, to computerized feedback or a pharmacist-led information technology intervention (PINCER), consisting of computerized feedback plus educational outreach and dedicated support.

At six months, the researchers found that patients in the PINCER group with a history of peptic ulcer were significantly less likely to have been prescribed a non-selective non-steroidal anti-inflammatory drug without also being prescribed a proton-pump inhibitor (odds ratio [OR], 0.58). Patients with a history of asthma in the PINCER group were also significantly less likely to be prescribed a β-blocker (OR, 0.73). Patients 75 years or older in the PINCER group were significantly less likely to be prescribed long-term angiotensin converting enzyme inhibitors or loop diuretics without appropriate monitoring (OR, 0.51). PINCER was found to be cost-effective, at £75 per error avoided at six months.

"The PINCER intervention is an effective method for reducing a range of medication errors in general practices with computerized clinical records," Avery and colleagues conclude.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events