Reducing Errors in Controlled Drug Prescriptions  

Oleh:

Jean, Yeo Suat ; Grace, Tan Faith ; Alvin, Chua

Jenis: Article from Proceeding
Dalam koleksi: 12th ANQ Congress in Singapore, 5-8 Agustus 2014, page 1-3.
Topik: Controlled drug; prescribing habits; legal requirement; template; chart
Fulltext: PS-1.6-P0138.pdf (353.81KB)

Isi artikel

Under the Misuse of Drug Act in Singapore, prescriptions for controlled drugs (e.g. morphine, fentanyl) must be fully handwritten by a physician and conform to a list of requirements before it can be dispensed by a pharmacist. The dose and quantity of the drug must be written in both figures and words, dosage form must be available in the hospital’s formulary and the patient’s details must be handwritten instead of the conventional use of patient identity labels in the hospital. Observation shows about 15% of controlled drugs (CD) prescriptions do not fulfil legal requirements resulting in re-work for pharmacists and physicians and a subsequent delay in the supply to patients.Using the 5-Why’s technique, the root cause was found to be the lack of use of available CD prescribing templates due to ignorance and/or the difficulty of using the existing template. In response to these findings, a new coloured template for CD prescribing with increased pictorial representation was designed and placed in wards where physicians routinely prescribe CD. In addition, a summary chart of available CD and their dosage forms was created and placed adjacent to the new templates. Nurses in these wards were also taught on the legal requirements of a CD prescription, and are able to direct physicians to use the new templates if needed. Prescribers need not refer to multiple references, reducing the time and potential re-work required to write a CD prescription. As a result, the number of erroneous CD prescriptions decreased by 30% from 15 in August to 11 in September 2012

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