The Healthcare Safety Investigation Branch (HSIB) has published an interim bulletin for its investigation looking at identifying and reducing high-risk prescribing errors in hospital.
HSIB's initial investigation considered that there may be a specific risk related to the administration of high-risk medicines to frail, elderly patients in hospital. Further investigation has identified specific risks associated with medication prescription and that these risks are not limited to the prescription of high-risk medications in isolation.
The following safety issues will form the basis of the wider investigation:
- The systems and processes which underpin the prescribing of medication for older people admitted to hospital.
- The main patient safety risks arising from the prescribing of warfarin and the safety defences in place.
- The common pressures that may impact on clinical practice and the identification of drug prescribing errors.