Opioids, the pharmacist and the junior doctor: reducing prescribing error

• Published in: Journal of pharmacy practice and research 2019-08, Vol.49 (4), p.356-363
• Main Authors: Sheehan, Dale C., Lee, Avril P., Young, Mary L., Werkmeister, Benjamin J., Thwaites, John H.
• Format: Article
• Language: English
• Subjects: education; partnerships; patient safety; prescribing; ward pharmacy
• ISSN: 1445-937X; 2055-2335
• DOI: 10.1002/jppr.1526

Aim This pharmacy and medicine collaborative project investigated the effectiveness of teaching and learning strategies to enhance opioid prescribing by junior doctors in their first year of practice. A key strategy tested was that of pharmacists engaging with junior doctors on the ward to coach and develop their prescribing skills. Data Sources An evaluation research framework was implemented that went beyond collecting reaction and self‐reported learning to include impact on patient outcomes. Pre‐ and postintervention prescribing audits were undertaken to identify changes in prescribing practice over the period of the intervention. Results Learner reaction feedback was extremely positive for all facets of the intervention. Coaching by the ward pharmacists was recognised and valued. As predicted, there was no significant change in knowledge of the pharmacology and use of opioids but there was a reduction of dose errors, from 54% pre‐intervention to 7% post‐intervention. Conclusion While this is a small targeted intervention, we appear to have made a contribution to patient safety through enhanced prescribing practice. The programme has highlighted the potential for further development of the medical–pharmacy relationship as a true teaching and learning partnership. The context of a hospital ward offers unparalleled opportunities to promote learning and develop team‐based understandings.