Junior doctors' perceptions of their self-efficacy in prescribing, their prescribing errors and the possible causes of errors

Cristín Ryan; Sarah Ross; Peter Davey; Eilidh M Duncan; Shona Fielding; Jill J Francis; Marie Johnston; Jean Ker; Amanda Jane Lee; Mary Joan Macleod; Simon Maxwell; Gerard McKay; James McLay; David J Webb; Christine Bond

doi:10.1111/bcp.12154

Junior doctors' perceptions of their self-efficacy in prescribing, their prescribing errors and the possible causes of errors

Cristín Ryan, Sarah Ross, Peter Davey, Eilidh M Duncan, Shona Fielding, Jill J Francis, Marie Johnston, Jean Ker, Amanda Jane Lee, Mary Joan Macleod, Simon Maxwell, Gerard McKay, James McLay, David J Webb, Christine Bond

Research output: Contribution to journal › Article › peer-review

41 Citations (Scopus)

Abstract

AIMS: Explore and compare junior doctors' perceptions of their self-efficacy in prescribing, their prescribing errors and the possible causes of those errors. METHODS: A cross-sectional questionnaire study was distributed to foundation doctors throughout Scotland, based on Bandura's Social Cognitive Theory and Human Error Theory (HET). RESULTS: 548 questionnaires were completed (35.0% of the national cohort). F1s estimated a higher daytime error rate (median 6.7 (IQR 2-12.4)) than F2s (4.0 IQR (0-10) (p=0.002)), calculated based on the total number of medicines prescribed. The majority of self-reported errors (250; 49.2%) resulted from unintentional actions. Interruptions and pressure from other staff were commonly cited causes of errors. F1s were more likely to report insufficient prescribing skills as a potential cause of error than F2s (p= 0.002). The prescribers did not believe that the outcomes of their errors were serious. F2s reported higher self-efficacy scores than F1s in most aspects of prescribing (p

Original language	English
Pages (from-to)	980-987
Number of pages	8
Journal	British Journal of Clinical Pharmacology
Volume	76
Issue number	6
Early online date	20 Nov 2013
DOIs	https://doi.org/10.1111/bcp.12154
Publication status	Published - Dec 2013

Bibliographical note

Keywords

junior doctors
prescribing errors
patient safety
causes
self-efficacy
social cognitive theory
human error theory

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/bcp.12154

Cite this

Ryan, C., Ross, S., Davey, P., Duncan, E. M., Fielding, S., Francis, J. J., Johnston, M., Ker, J., Lee, A. J., Macleod, M. J., Maxwell, S., McKay, G., McLay, J., Webb, D. J., & Bond, C. (2013). Junior doctors' perceptions of their self-efficacy in prescribing, their prescribing errors and the possible causes of errors. British Journal of Clinical Pharmacology, 76(6), 980-987. https://doi.org/10.1111/bcp.12154

Ryan, C, Ross, S, Davey, P, Duncan, EM, Fielding, S, Francis, JJ, Johnston, M, Ker, J, Lee, AJ , Macleod, MJ, Maxwell, S, McKay, G, McLay, J, Webb, DJ & Bond, C 2013, 'Junior doctors' perceptions of their self-efficacy in prescribing, their prescribing errors and the possible causes of errors', British Journal of Clinical Pharmacology, vol. 76, no. 6, pp. 980-987. https://doi.org/10.1111/bcp.12154

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abstract = "AIMS: Explore and compare junior doctors' perceptions of their self-efficacy in prescribing, their prescribing errors and the possible causes of those errors. METHODS: A cross-sectional questionnaire study was distributed to foundation doctors throughout Scotland, based on Bandura's Social Cognitive Theory and Human Error Theory (HET). RESULTS: 548 questionnaires were completed (35.0% of the national cohort). F1s estimated a higher daytime error rate (median 6.7 (IQR 2-12.4)) than F2s (4.0 IQR (0-10) (p=0.002)), calculated based on the total number of medicines prescribed. The majority of self-reported errors (250; 49.2%) resulted from unintentional actions. Interruptions and pressure from other staff were commonly cited causes of errors. F1s were more likely to report insufficient prescribing skills as a potential cause of error than F2s (p= 0.002). The prescribers did not believe that the outcomes of their errors were serious. F2s reported higher self-efficacy scores than F1s in most aspects of prescribing (p",

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Junior doctors' perceptions of their self-efficacy in prescribing, their prescribing errors and the possible causes of errors

Abstract

Bibliographical note

Keywords

UN SDGs

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