Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data
Objectives To explore the views of junior doctors towards (1) electronic prescribing (EP) training and feedback, (2) readiness for receiving individualised feedback data about EP errors and (3) preferences for receiving and learning from EP feedback.Design Explanatory sequential mixed methods study...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e056221.full |
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| author | Bryony Dean Franklin Monsey McLeod Ann Chu Arika Kumar Geraldine Depoorter |
| author_facet | Bryony Dean Franklin Monsey McLeod Ann Chu Arika Kumar Geraldine Depoorter |
| author_sort | Bryony Dean Franklin |
| collection | DOAJ |
| description | Objectives To explore the views of junior doctors towards (1) electronic prescribing (EP) training and feedback, (2) readiness for receiving individualised feedback data about EP errors and (3) preferences for receiving and learning from EP feedback.Design Explanatory sequential mixed methods study comprising quantitative survey (phase 1), followed by interviews and focus group discussions (phase 2).Setting Three acute hospitals of a large English National Health Service organisation.Participants 25 of 89 foundation year 1 and 2 doctors completed the phase 1 survey; 5 participated in semi-structured interviews and 7 in a focus group in phase 2.Results Foundation doctors in this mixed methods study reported that current feedback provision on EP errors was lacking or informal, and that existing EP training and resources were underused. They believed feedback about prescribing errors to be important and were keen to receive real-time, individualised EP feedback data. Feedback needed to be in manageable amounts, motivational and clearly signposting how to learn or improve. Participants wanted feedback and better training on the EP system to prevent repeating errors. In addition to individualised EP error data, they were positive about learning from general prescribing errors and aggregated EP data. However, there was a lack of consensus about how best to learn from statistical data. Potential limitations identified by participants included concern about how the data would be collected and whether it would be truly reflective of their performance.Conclusions Junior doctors would value feedback on their prescribing, and are keen to learn from EP errors, develop their clinical prescribing skills and use the EP interface effectively. We identified preferences for EP technology to enable provision of real-time data in combination with feedback to support learning and potentially reduce prescribing errors. |
| format | Article |
| id | doaj-art-5ac44d6f5d2a42b8a686d9b0b4c37bdb |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-5ac44d6f5d2a42b8a686d9b0b4c37bdb2025-08-20T02:27:16ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2021-056221Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback dataBryony Dean Franklin0Monsey McLeod1Ann Chu2Arika Kumar3Geraldine Depoorter47 School of Pharmacy, University College London, London, UK7 NHS England, London, UKFaculty Education Office, Imperial College London, London, UKDepartment of Pharmacy, Imperial College Healthcare NHS Trust, London, UKDepartment of Pharmacy, Imperial College Healthcare NHS Trust, London, UKObjectives To explore the views of junior doctors towards (1) electronic prescribing (EP) training and feedback, (2) readiness for receiving individualised feedback data about EP errors and (3) preferences for receiving and learning from EP feedback.Design Explanatory sequential mixed methods study comprising quantitative survey (phase 1), followed by interviews and focus group discussions (phase 2).Setting Three acute hospitals of a large English National Health Service organisation.Participants 25 of 89 foundation year 1 and 2 doctors completed the phase 1 survey; 5 participated in semi-structured interviews and 7 in a focus group in phase 2.Results Foundation doctors in this mixed methods study reported that current feedback provision on EP errors was lacking or informal, and that existing EP training and resources were underused. They believed feedback about prescribing errors to be important and were keen to receive real-time, individualised EP feedback data. Feedback needed to be in manageable amounts, motivational and clearly signposting how to learn or improve. Participants wanted feedback and better training on the EP system to prevent repeating errors. In addition to individualised EP error data, they were positive about learning from general prescribing errors and aggregated EP data. However, there was a lack of consensus about how best to learn from statistical data. Potential limitations identified by participants included concern about how the data would be collected and whether it would be truly reflective of their performance.Conclusions Junior doctors would value feedback on their prescribing, and are keen to learn from EP errors, develop their clinical prescribing skills and use the EP interface effectively. We identified preferences for EP technology to enable provision of real-time data in combination with feedback to support learning and potentially reduce prescribing errors.https://bmjopen.bmj.com/content/12/12/e056221.full |
| spellingShingle | Bryony Dean Franklin Monsey McLeod Ann Chu Arika Kumar Geraldine Depoorter Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data BMJ Open |
| title | Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data |
| title_full | Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data |
| title_fullStr | Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data |
| title_full_unstemmed | Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data |
| title_short | Learning from electronic prescribing errors: a mixed methods study of junior doctors’ perceptions of training and individualised feedback data |
| title_sort | learning from electronic prescribing errors a mixed methods study of junior doctors perceptions of training and individualised feedback data |
| url | https://bmjopen.bmj.com/content/12/12/e056221.full |
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