• J Prim Health Care · Jun 2011

    Repeat prescribing--reducing errors.

    • Steven Lillis and Hayley Lord.
    • Waikato Clinical School, Bryant Education Centre, Hamilton, New Zealand. slillis@wave.co.nz
    • J Prim Health Care. 2011 Jun 1; 3 (2): 153-8.

    Background And ContextPrescribing errors account for a significant proportion of overall error in general practice. Repeat prescribing occurs commonly in New Zealand and is a likely cause of error in practice.Assessment Of ProblemThis paper reports on two related aspects of repeat prescribing; an audit of adherence to a repeat prescribing protocol and self-reported repeat prescribing incidents in a network of 97 general practices.ResultsThe audit of adherence to the repeat prescribing protocol revealed that some issues persist. In particular, prescribing medication outside an approved list and exceeding specified time limits or maximal scripts before clinical review were problematic. Repeat prescribing encompassed a range of departures of process from minor (such as prescription not available on time) to major (wrong medication). Corrective measures highlighted the importance of both the pharmacist and the patient in error detection.Strategies For ImprovementRepeat prescribing needs to be recognised as a process potentially fraught with error. Effective practice systems, patient involvement and enhanced pharmacy communication are important contributing factors in reducing error.LessonsThere is need for robust data regarding error rates in prescribing and the impact of changing prescribing protocols on error rates.

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