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Human factors and safe prescribing

02 June 2019
Volume 1 · Issue 6

Abstract

The aim of this article is to discuss the professional issues and complex factors that can contribute to prescribing errors. It will review the need for a focus on pharmacovigilance and human factors in order to reduce the risk of errors and develop safe prescribing practices in newly qualified non-medical prescribers. The article will also highlight the professional elements that require recognition, not only for the prescriber, but also from an organisational perspective.

Improving patient safety is a priority in healthcare, and reducing prescribing errors and identifying factors that predispose risk can help to achieve this (Royal et al, 2006). While prescribing remains one of the most common interventions by the NHS, the impact of drug errors on patients, the prescriber and organisations is increasing (Barber et al, 2003). There is also a significant financial cost associated with medication errors, which is estimated to be $42 billion worldwide (Department of Health and Social Care, 2018). Furthermore, prescribing errors can result in pain or disability for the patient, or negative feelings experienced by staff such as shame, guilt and depression (Department of Health (DH), 2000).

Non-medical prescribing does have advantages for the patient, which Courtenay et al (2011) identify as being an increasingly central element of nursing practice in many clinical areas, while also making improved use of the nursing skills, knowledge and experience.

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