FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W57969116> ?p ?o ?g. }

• W57969116 abstract "Background: Medication errors are well documented in many clinical settings with Emergency Departments (ED) reported to have particularly high rates. This is largely attributed to the need to make rapid clinical decisions without the benefit of time, information or continuity of patient care. However the ability of doctors to make the correct choice of medications is an additional factor, and this study examined both the preparedness and the willingness of doctors to prescribe medications.Setting: The ED of a large tertiary hospital in Queensland, Australia which receives 55,000 presentations per annum and supports a large training program for doctors through their residency programs.Participants: Forty residents in emergency medicine, general medicine and surgery eligible to prescribe medications in the ED. The seniority ranged from postgraduate year one to eight.Methods: A prospective study of the medication knowledge and prescribing practices employing three methods for data collection: i) a face-to-face interview with each doctor to determine their prescribing practices; ii) a questionnaire developed by an expert panel of pharmacologists and consultant emergency physicians to determine each doctor’s knowledge of eight pharmacological aspects of recently and commonly prescribed medications; and iii) the doctor’s self-reported confidence in the prescribing of each medication based on a five-point Likert scale from “completely sure” to “completely unsure”.Results: Out of 400 medications (40 doctors x 10 medications each) on only 143 (35.7%) occasions were four or more of the eight questions answered correctly. No doctor obtained more than five correct answers for all 10 medications, and only four of the 40 achieved half marks for all 10. The doctors’ knowledge of indications and contraindications, which were two characteristics ranked as “essential” by the consultants, was particularly poor.Twenty-one doctors admitted not being 100% confident about their knowledge of any of the five medications that they had most recently prescribed. However 19 doctors stated that they were 100% confident on 48 of the 95 occasions (50.5%) they prescribed. This confidence was however misguided as they were found to be correct on only seven occasions (7.4%). Similarly for the most common medications only on 8 percent of the occasions for which they stated complete knowledge did they achieve more than six questions correct. Many doctors acknowledged that they had received little prior education in safe prescribing, and yet their use of reference materials was limited.Discussion: The study did not aim to determine the safety or accuracy of prescribing undertaken by the participants, but rather to assess their knowledge and willingness to write those prescriptions. When assessed against the knowledge expectations of consultants the majority of the participants in the study had inadequate knowledge on medications. Most significantly half of the junior doctors’ perceptions of their medication knowledge were inflated in relation to their actual knowledge. Their confidence, although usually an admirable trait for doctors to possess, was misplaced. The results point to the need for additional training including strategies for doctors to recognise their own limitations." @default.
• W57969116 created "2016-06-24" @default.
• W57969116 creator A5058806242 @default.
• W57969116 date "2014-01-01" @default.
• W57969116 modified "2023-09-27" @default.
• W57969116 title "Confidence: when it may not be a doctor's best trait" @default.
• W57969116 hasPublicationYear "2014" @default.
• W57969116 type Work @default.
• W57969116 sameAs 57969116 @default.
• W57969116 citedByCount "0" @default.
• W57969116 crossrefType "journal-article" @default.
• W57969116 hasAuthorship W57969116A5058806242 @default.
• W57969116 hasConcept C105776082 @default.
• W57969116 hasConcept C138496976 @default.
• W57969116 hasConcept C15744967 @default.
• W57969116 hasConcept C159110408 @default.
• W57969116 hasConcept C17744445 @default.
• W57969116 hasConcept C199539241 @default.
• W57969116 hasConcept C2777042776 @default.
• W57969116 hasConcept C2779473830 @default.
• W57969116 hasConcept C2780724011 @default.
• W57969116 hasConcept C2780783599 @default.
• W57969116 hasConcept C512399662 @default.
• W57969116 hasConcept C71924100 @default.
• W57969116 hasConceptScore W57969116C105776082 @default.
• W57969116 hasConceptScore W57969116C138496976 @default.
• W57969116 hasConceptScore W57969116C15744967 @default.
• W57969116 hasConceptScore W57969116C159110408 @default.
• W57969116 hasConceptScore W57969116C17744445 @default.
• W57969116 hasConceptScore W57969116C199539241 @default.
• W57969116 hasConceptScore W57969116C2777042776 @default.
• W57969116 hasConceptScore W57969116C2779473830 @default.
• W57969116 hasConceptScore W57969116C2780724011 @default.
• W57969116 hasConceptScore W57969116C2780783599 @default.
• W57969116 hasConceptScore W57969116C512399662 @default.
• W57969116 hasConceptScore W57969116C71924100 @default.
• W57969116 hasLocation W579691161 @default.
• W57969116 hasOpenAccess W57969116 @default.
• W57969116 hasPrimaryLocation W579691161 @default.
• W57969116 hasRelatedWork W1501785743 @default.
• W57969116 hasRelatedWork W1571123957 @default.
• W57969116 hasRelatedWork W1838176859 @default.
• W57969116 hasRelatedWork W1974625852 @default.
• W57969116 hasRelatedWork W2025774405 @default.
• W57969116 hasRelatedWork W2106374475 @default.
• W57969116 hasRelatedWork W2123914014 @default.
• W57969116 hasRelatedWork W2133918744 @default.
• W57969116 hasRelatedWork W2158787366 @default.
• W57969116 hasRelatedWork W2161910369 @default.
• W57969116 hasRelatedWork W2189334689 @default.
• W57969116 hasRelatedWork W2388362048 @default.
• W57969116 hasRelatedWork W2442273170 @default.
• W57969116 hasRelatedWork W2589450138 @default.
• W57969116 hasRelatedWork W2762996159 @default.
• W57969116 hasRelatedWork W2950641180 @default.
• W57969116 hasRelatedWork W2991758319 @default.
• W57969116 hasRelatedWork W2994781492 @default.
• W57969116 hasRelatedWork W51940132 @default.
• W57969116 hasRelatedWork W2605750248 @default.
• W57969116 isParatext "false" @default.
• W57969116 isRetracted "false" @default.
• W57969116 magId "57969116" @default.
• W57969116 workType "article" @default.