Prescribing in 2019: what are the safety concerns?

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Prescribing in 2019 : what are the safety concerns? / Coleman, Jamie.

In: Expert Opinion on Drug Safety, Vol. 18, No. 2, 01.02.2019, p. 69-74.

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@article{c4f722e06c5f45ceaf105173b76deafb,
title = "Prescribing in 2019: what are the safety concerns?",
abstract = "Introduction: Unintended harm from prescribing errors remains a prevalent concern in healthcare leading to significant morbidity and mortality around the world. Prescribers face new challenges to their practice in modern times such as increasingly complex health-care systems, an aging population with increasing multimorbidity, and rapid growth in the number of novel medicines.Areas covered: Prescribing concerns in modern practice are outlined based on seminal literature in this area and the author{\textquoteright}s continual academic oversight of this topic. Major UK and international reports have been used to highlight the important emerging issues in prescribing, and focused literature searches performed to highlight key papers supporting this review.Expert opinion: Whilst there are many ways to consider mitigating the risk of harm from prescribing, it is suggested that a tripartite approach is required. Patients and carers are essential partners in the process and shared decision-making has replaced paternalistic practice in achieving joint prescribing decisions. Comprehensive and coordinated care is critical to avoid fragmented care and poor transfer of prescribing information. Lastly, a whole systems approach is crucial to ensure that all prescribers are supported (and not overwhelmed) when making safe, effective and timely prescribing decisions.",
keywords = "prescribing, medication safety, medicine, pharmacist, inappropriate prescribing, polypharmacy, drug misuse, interprofessional communication, deprescribing, Prescribing",
author = "Jamie Coleman",
year = "2019",
month = feb,
day = "1",
doi = "10.1080/14740338.2019.1571038",
language = "English",
volume = "18",
pages = "69--74",
journal = "Expert Opinion on Drug Safety",
issn = "1474-0338",
publisher = "Taylor & Francis",
number = "2",

}

RIS

TY - JOUR

T1 - Prescribing in 2019

T2 - what are the safety concerns?

AU - Coleman, Jamie

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Introduction: Unintended harm from prescribing errors remains a prevalent concern in healthcare leading to significant morbidity and mortality around the world. Prescribers face new challenges to their practice in modern times such as increasingly complex health-care systems, an aging population with increasing multimorbidity, and rapid growth in the number of novel medicines.Areas covered: Prescribing concerns in modern practice are outlined based on seminal literature in this area and the author’s continual academic oversight of this topic. Major UK and international reports have been used to highlight the important emerging issues in prescribing, and focused literature searches performed to highlight key papers supporting this review.Expert opinion: Whilst there are many ways to consider mitigating the risk of harm from prescribing, it is suggested that a tripartite approach is required. Patients and carers are essential partners in the process and shared decision-making has replaced paternalistic practice in achieving joint prescribing decisions. Comprehensive and coordinated care is critical to avoid fragmented care and poor transfer of prescribing information. Lastly, a whole systems approach is crucial to ensure that all prescribers are supported (and not overwhelmed) when making safe, effective and timely prescribing decisions.

AB - Introduction: Unintended harm from prescribing errors remains a prevalent concern in healthcare leading to significant morbidity and mortality around the world. Prescribers face new challenges to their practice in modern times such as increasingly complex health-care systems, an aging population with increasing multimorbidity, and rapid growth in the number of novel medicines.Areas covered: Prescribing concerns in modern practice are outlined based on seminal literature in this area and the author’s continual academic oversight of this topic. Major UK and international reports have been used to highlight the important emerging issues in prescribing, and focused literature searches performed to highlight key papers supporting this review.Expert opinion: Whilst there are many ways to consider mitigating the risk of harm from prescribing, it is suggested that a tripartite approach is required. Patients and carers are essential partners in the process and shared decision-making has replaced paternalistic practice in achieving joint prescribing decisions. Comprehensive and coordinated care is critical to avoid fragmented care and poor transfer of prescribing information. Lastly, a whole systems approach is crucial to ensure that all prescribers are supported (and not overwhelmed) when making safe, effective and timely prescribing decisions.

KW - prescribing

KW - medication safety

KW - medicine

KW - pharmacist

KW - inappropriate prescribing

KW - polypharmacy

KW - drug misuse

KW - interprofessional communication

KW - deprescribing

KW - Prescribing

UR - http://www.scopus.com/inward/record.url?scp=85062355219&partnerID=8YFLogxK

U2 - 10.1080/14740338.2019.1571038

DO - 10.1080/14740338.2019.1571038

M3 - Review article

VL - 18

SP - 69

EP - 74

JO - Expert Opinion on Drug Safety

JF - Expert Opinion on Drug Safety

SN - 1474-0338

IS - 2

ER -