Lancet
04/18/2002
By Harvey McConnell
Junior doctors need to be trained in the principles of drug dosing before beginning to write prescriptions in order to reduce errors, researchers say.
The British Department of Health is committed to reducing the number of serious errors involving prescribed drugs by 40 percent over the next three years, and similar initiatives are proposed in the United States.
Theories of human error, which are used to understand the causes of mistakes made in high-risk industries, are now being used in health care. Dr Bryony Dean and colleagues at the Centre for Practice and Policy, School of Pharmacy, University of London, England used this approach to investigate the causes of prescribing errors within an in-patient hospital setting.
In the past, the response to such mistakes has been to focus on personal accountability, whatever the circumstances. However, the systems in which people work also contribute to errors. At the same time, "Errors made during drug prescription are the most common type of avoidable medication error, and are hence an important target for improvement."
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