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A Longitudinal Assessment of the Quality of Insulin Prescribing with Different Prescribing Systems.

Setra, A; Jani, Y; (2021) A Longitudinal Assessment of the Quality of Insulin Prescribing with Different Prescribing Systems. Pharmacy , 9 (1) , Article 53. 10.3390/pharmacy9010053. Green open access

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Abstract

Accurate and complete prescriptions of insulin are crucial to prevent medication errors from occurring. Two core components for safe insulin prescriptions are the word 'units' being written in full for the dose, and clear documentation of the insulin device alongside the name. A retrospective review of annual audit data was conducted for insulin prescriptions to assess the impact of changes to the prescribing system within a secondary care setting, at five time points over a period of 7 years (2014 to 2020). The review points were based on when changes were made, from standardized paper charts with a dedicated section for insulin prescribing, to a standalone hospital wide electronic prescribing and medicines administration (ePMA) system, and finally an integrated electronic health record system (EHRS). The measured outcomes were compliance with recommended standards for documentation of 'units' in full, and inclusion of the insulin device as part of the prescription. Overall, an improvement was seen in both outcomes of interest. Device documentation improved incrementally with each system change-34% for paper charts, 23%-56% for standalone ePMA, and 100% for ePMA integrated within EHRS. Findings highlight that differences in ePMA systems may have varying impact on safe prescribing practices.

Type: Article
Title: A Longitudinal Assessment of the Quality of Insulin Prescribing with Different Prescribing Systems.
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/pharmacy9010053
Publisher version: https://doi.org/10.3390/pharmacy9010053
Language: English
Additional information: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Keywords: Electronic prescribing, hospital, insulin, medication safety, prescribing, secondary care
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Practice and Policy
URI: https://discovery.ucl.ac.uk/id/eprint/10123917
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