Academic Journal
Improving junior doctor medicine prescribing and patient safety: an intervention using personalised, structured, video-enhanced feedback and deliberate practice.
| Τίτλος: | Improving junior doctor medicine prescribing and patient safety: an intervention using personalised, structured, video-enhanced feedback and deliberate practice. |
|---|---|
| Συγγραφείς: | William Green, Muhammad Shahzad, S Wood, Maria Martinez Martinez, Andrew Baines, Ahmad Navid, Robert Jay, Zara Whysall, John Sandars, R Patel |
| Έτος έκδοσης: | 2020 |
| Συλλογή: | University of Leicester: Figshare |
| Θεματικοί όροι: | Uncategorised value, Avoidable Harm, Deliberate Practice, Foundation Training, Junior Doctors, Patient Safety, Prescribing, Video-Enhanced Feedback |
| Περιγραφή: | Aim This research investigated the effectiveness of an intervention for improving the prescribing and patient safety behaviour of Foundation Year doctors. The intervention consisted of simulated clinical encounters with subsequent personalised, structured, video-enhanced feedback and deliberate practice, undertaken at the start of four-month sub-specialty rotations. Method Three prospective, non-randomised control intervention studies were conducted, within two secondary care NHS Trusts in England. The primary outcome measure, error rate per prescriber, was calculated using daily prescribing data. Prescribers were grouped to enable a comparison between experimental and control conditions using regression analysis. A break-even analysis evaluated cost effectiveness. Results There was no significant difference in error rates of novice prescribers who received the intervention when compared with those of experienced prescribers. Novice prescribers not participating in the intervention had significantly higher error rates(p=0.026, 95% CI Wald 0.093to 1.436; p=0.026, 95% CI 0.031 to 0.397) and patients seen by them experienced significantly higher prescribing error rates (p=0.007, 95% CI 0.025 to 0.157). Conversely, patients seen by the novice prescribers who received the intervention experienced a significantly lower rate of significant errors compared to patients seen by the experienced prescribers (p=0.04, 95% CI -0.068 to -0.001). The break-even analysis demonstrates cost-effectiveness for the intervention. Conclusion Simulated clinical encounters using personalised, structured, video-enhanced feedback and deliberate practice improves the prescribing and patient safety behaviour of junior doctors in their Foundation Training. The intervention is cost-effective with potential to reduce avoidable harm. |
| Τύπος εγγράφου: | article in journal/newspaper |
| Γλώσσα: | unknown |
| Relation: | 2381/12153291.v1 |
| Διαθεσιμότητα: | https://figshare.com/articles/journal_contribution/Improving_junior_doctor_medicine_prescribing_and_patient_safety_an_intervention_using_personalised_structured_video-enhanced_feedback_and_deliberate_practice_/12153291 |
| Rights: | All Rights Reserved |
| Αριθμός Καταχώρησης: | edsbas.1FB5F933 |
| Βάση Δεδομένων: | BASE |
| FullText | Text: Availability: 0 CustomLinks: – Url: https://figshare.com/articles/journal_contribution/Improving_junior_doctor_medicine_prescribing_and_patient_safety_an_intervention_using_personalised_structured_video-enhanced_feedback_and_deliberate_practice_/12153291# Name: EDS - BASE (ns324271) Category: fullText Text: View record from BASE |
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| Header | DbId: edsbas DbLabel: BASE An: edsbas.1FB5F933 RelevancyScore: 824 AccessLevel: 3 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 823.994323730469 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Improving junior doctor medicine prescribing and patient safety: an intervention using personalised, structured, video-enhanced feedback and deliberate practice. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22William+Green%22">William Green</searchLink><br /><searchLink fieldCode="AR" term="%22Muhammad+Shahzad%22">Muhammad Shahzad</searchLink><br /><searchLink fieldCode="AR" term="%22S+Wood%22">S Wood</searchLink><br /><searchLink fieldCode="AR" term="%22Maria+Martinez+Martinez%22">Maria Martinez Martinez</searchLink><br /><searchLink fieldCode="AR" term="%22Andrew+Baines%22">Andrew Baines</searchLink><br /><searchLink fieldCode="AR" term="%22Ahmad+Navid%22">Ahmad Navid</searchLink><br /><searchLink fieldCode="AR" term="%22Robert+Jay%22">Robert Jay</searchLink><br /><searchLink fieldCode="AR" term="%22Zara+Whysall%22">Zara Whysall</searchLink><br /><searchLink fieldCode="AR" term="%22John+Sandars%22">John Sandars</searchLink><br /><searchLink fieldCode="AR" term="%22R+Patel%22">R Patel</searchLink> – Name: DatePubCY Label: Publication Year Group: Date Data: 2020 – Name: Subset Label: Collection Group: HoldingsInfo Data: University of Leicester: Figshare – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Uncategorised+value%22">Uncategorised value</searchLink><br /><searchLink fieldCode="DE" term="%22Avoidable+Harm%22">Avoidable Harm</searchLink><br /><searchLink fieldCode="DE" term="%22Deliberate+Practice%22">Deliberate Practice</searchLink><br /><searchLink fieldCode="DE" term="%22Foundation+Training%22">Foundation Training</searchLink><br /><searchLink fieldCode="DE" term="%22Junior+Doctors%22">Junior Doctors</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+Safety%22">Patient Safety</searchLink><br /><searchLink fieldCode="DE" term="%22Prescribing%22">Prescribing</searchLink><br /><searchLink fieldCode="DE" term="%22Video-Enhanced+Feedback%22">Video-Enhanced Feedback</searchLink> – Name: Abstract Label: Description Group: Ab Data: Aim This research investigated the effectiveness of an intervention for improving the prescribing and patient safety behaviour of Foundation Year doctors. The intervention consisted of simulated clinical encounters with subsequent personalised, structured, video-enhanced feedback and deliberate practice, undertaken at the start of four-month sub-specialty rotations. Method Three prospective, non-randomised control intervention studies were conducted, within two secondary care NHS Trusts in England. The primary outcome measure, error rate per prescriber, was calculated using daily prescribing data. Prescribers were grouped to enable a comparison between experimental and control conditions using regression analysis. A break-even analysis evaluated cost effectiveness. Results There was no significant difference in error rates of novice prescribers who received the intervention when compared with those of experienced prescribers. Novice prescribers not participating in the intervention had significantly higher error rates(p=0.026, 95% CI Wald 0.093to 1.436; p=0.026, 95% CI 0.031 to 0.397) and patients seen by them experienced significantly higher prescribing error rates (p=0.007, 95% CI 0.025 to 0.157). Conversely, patients seen by the novice prescribers who received the intervention experienced a significantly lower rate of significant errors compared to patients seen by the experienced prescribers (p=0.04, 95% CI -0.068 to -0.001). The break-even analysis demonstrates cost-effectiveness for the intervention. Conclusion Simulated clinical encounters using personalised, structured, video-enhanced feedback and deliberate practice improves the prescribing and patient safety behaviour of junior doctors in their Foundation Training. The intervention is cost-effective with potential to reduce avoidable harm. – Name: TypeDocument Label: Document Type Group: TypDoc Data: article in journal/newspaper – Name: Language Label: Language Group: Lang Data: unknown – Name: NoteTitleSource Label: Relation Group: SrcInfo Data: 2381/12153291.v1 – Name: URL Label: Availability Group: URL Data: https://figshare.com/articles/journal_contribution/Improving_junior_doctor_medicine_prescribing_and_patient_safety_an_intervention_using_personalised_structured_video-enhanced_feedback_and_deliberate_practice_/12153291 – Name: Copyright Label: Rights Group: Cpyrght Data: All Rights Reserved – Name: AN Label: Accession Number Group: ID Data: edsbas.1FB5F933 |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsbas&AN=edsbas.1FB5F933 |
| RecordInfo | BibRecord: BibEntity: Languages: – Text: unknown Subjects: – SubjectFull: Uncategorised value Type: general – SubjectFull: Avoidable Harm Type: general – SubjectFull: Deliberate Practice Type: general – SubjectFull: Foundation Training Type: general – SubjectFull: Junior Doctors Type: general – SubjectFull: Patient Safety Type: general – SubjectFull: Prescribing Type: general – SubjectFull: Video-Enhanced Feedback Type: general Titles: – TitleFull: Improving junior doctor medicine prescribing and patient safety: an intervention using personalised, structured, video-enhanced feedback and deliberate practice. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: William Green – PersonEntity: Name: NameFull: Muhammad Shahzad – PersonEntity: Name: NameFull: S Wood – PersonEntity: Name: NameFull: Maria Martinez Martinez – PersonEntity: Name: NameFull: Andrew Baines – PersonEntity: Name: NameFull: Ahmad Navid – PersonEntity: Name: NameFull: Robert Jay – PersonEntity: Name: NameFull: Zara Whysall – PersonEntity: Name: NameFull: John Sandars – PersonEntity: Name: NameFull: R Patel IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Type: published Y: 2020 Identifiers: – Type: issn-locals Value: edsbas |
| ResultId | 1 |