Article Text

  1. T. C. Wall1,
  2. D. B. Schmidt1,
  3. A. Higdon1,
  4. J. M. Hardin1
  1. 1Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL


Purpose To assess compliance with a hospital prescribing policy and to evaluate the impact of provider feedback within a residency training program.

Methods Following distribution of the hospital medication prescribing policy, pediatric and med/peds residents were randomly assigned to control versus intervention groups. All outpatient prescriptions written by housestaff and filled in the hospital pharmacy were reviewed by a pharmacist in a blinded manner for the presence of patient weight, age, and allergies, desired mg/kg dosing, mg dose for liquid medications, “do not use” abbreviations, and volume given in cc. A 2-month baseline review period provided data for resident feedback reports (intervention) indicating the individual's performance and benchmarks for each measure. Monitoring was then continued for the subsequent 3 months.

Results For the 50 pediatric and 15 med/peds residents, there was no difference in baseline performance between intervention versus control residents. Using analysis of covariance, in tervention residents improved on two measures (better recording of patient weight and less use of “do not use” abbreviations).

Conclusions Simple distribution of the prescribing policy resulting in suboptimal prescribing behaviors on outpatient prescriptions. Intervention residents improved on selected measures after receiving performance feedback for prescribing practices.

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