The causes of prescribing errors in English general practices: a qualitative study

Aim: To examine the causes of prescribing and monitoring errors in English general practices and provide recommendations for how they may be overcome. Design: Qualitative interview and focus group study with purposive sampling and thematic analysis informed by Reason’s accident causation model. Participants: General practice staff participated in a combination of semi-structured interviews (n=34) and six focus groups (n=46). Setting: Fifteen general practices across three primary care trusts in England. Results: We identified seven categories of high-level error-producing conditions: the prescriber, the patient, the team, the task, the working environment, the computer system, and the primary-secondary care interface. Each of these was further broken down to reveal various error-producing conditions. The prescriber’s therapeutic training, drug knowledge and experience, knowledge of the patient, perception of risk, and their physical and emotional health, were all identified as possible causes. The patient’s characteristics and the complexity of the individual clinical case were also found to have contributed to prescribing errors. The importance of feeling comfortable within the practice team was highlighted, as well as the safety of general practitioners (GPs) in signing prescriptions generated by nurses when they had not seen the patient for themselves. The working environment with its high workload, time pressures, and interruptions, and computer related issues associated with mis-selecting drugs from electronic pick-lists and overriding alerts, were all highlighted as possible causes of prescribing errors and often interconnected. Conclusion: This study has highlighted the complex underlying causes of prescribing and monitoring errors in general practices, several of which are amenable to intervention.

What Bronx Community College Students Can Do!

The dominant discourse in faculty spaces with respect to student performance too often focuses on what community college students, in need of developmental courses, can’t do. Deeply inspired by the work of Robert Glaser, Lev Vygotsky, bell hooks, and Bagele Chilisa we (Monique Guishard, and four intermediate psychology students) have collaborated using student podcasts to theorize back to deficit, damaged centered theories of student underperformance.

Cedric Gael Bryant, Lee Family Professor of English

Cedric Gael Bryant, Lee Family Professor of English, reading Beloved: A Novel, by Toni Morrison (PS3563 O8749 B4 1987)

Perspective: LaGuardia Community College Newsletter Vol. 1, No. 5

A newsletter published periodically to keep the faculty, students, staff, and community informed about the activities taking place on the campus of LaGuardia Community College. Cover article: SONY SHIFT SCHEDULED SOON, SPOKESMAN SAYS. Other entries include: CUNY TEACHING EXCELLENCE AWARD TO PROFESSOR MILLER; CHILD CARE LEAVE ADOPTED BY BHE; NINETY SENIOR CITIZENS RECEIVE CERTIFICATES; COLLEGE COMMENCEMENT TO BE HELD AT QUEENS COLLEGE AUDITORIUM; DEAN PALMER TO SING AT SEPT. 16, COMMENCEMENT; FOUR MORE PARAPROFESSIONALS COMPLETE DEGREES.”

Perspective: LaGuardia Community College Newsletter Vol. 1, No. 2

"A newsletter published periodically to keep the faculty, students, staff, and community informed about the activities taking place on the campus of LaGuardia Community College." No date [1973]; Vol. 1, No. 2; 4 pages; Color (green, black & white); black & white photographs. Cover article: “BLACK HISTORY WEEK AT LAGUARDIA”. Other entries include: “LAGUARDIA’S FIRST ANNUAL COMMENCEMENT SCHEDULED FOR SUNDAY, SEPT. 16;” “LAGUARDIA FIVE SEEKS FIRST VICTORY.”

Perspective: LaGuardia Community College Newsletter Vol. 1, No. 3

"A newsletter published periodically to keep the faculty, students, staff, and community informed about the activities taking place on the campus of LaGuardia Community College." No date [1973]; Vol. 1, No. 3; 4 pages; Color (green, black & white); black & white photographs. Cover article: “COMMENCEMENT SPEAKER NAMED, SHIRLEY CHISHOLM TO DELIVER GRADUATION ADDRESS”. Other entries include: “FIORELLO FUNDS COMMITTEE ANNOUNCES F INAL AWARDS;” “’TOWN MEETINGS’ PROGRAMS TO BEGIN ON TELEVISION MARCH 17;” “Highights of BLACK HISTORY WEEK.”

Perspective: LaGuardia Community College Newsletter Vol. 1, No. 4

"A newsletter published periodically to keep the faculty, students, staff, and community informed about the activities taking place on the campus of LaGuardia Community College." No date [1973]; Vol. 1, No. 4; 3 pages; Color (green, black & white); black & white photographs. Cover article: “Another LaGuardia First, Distinguished Professor John A. Willliams.” Other entries include: “DEAN HAMILTON WELCOMES NEW FRESHMEN.”

Perspective: LaGuardia Community College Newsletter [1976]

No date [1976]; 6 pages; Color (green, black & white photographs). Cover article: “LAGUARDIA SELECTED BY H.E.W. AS ONLY COMMUNITY COLLEGE IN U.S.A. TO DEVELOP CAREER EDUCATION MODEL FOR COUNTRY’S 2-YEAR COLLEGES."

Perspective: LaGuardia Community College Newsletter (Fall 1981)

Vol. 10 No, 1 Fall 1981; Perspective is a quarterly publication of LaGuardia Community College / CUNY which is designed and edited by the Office of Communications, Bill Freeland, director. Information on news and features stories should be addressed to the office In room M194. Faculty and staff news items should be sent to Dr. Roberta Matthews, Associate Dean of Faculty, room SB65.

Perspective: LaGuardia Community College Newsletter (Spring 1981)

Vol.9 No.1 Spring 1981; Perspective is a quarterly publication of LaGuardia Community College / CUNY which is designed and edited by the Office of Communications, Bill Freeland, director. Information on news and features stories should be addressed to the office In room M194. Faculty and staff news items should be sent to Dr. Roberta Matthews, Associate Dean of Faculty, room SB65.

Perspective: LaGuardia Community College Newsletter (Fall 1982)

Vol. 11 No. 1; Perspective is a quarterly publication of LaGuardia Community College / CUNY which is designed and edited by the Office of Communications, Bill Freeland, director. Information on news and features stories should be addressed to the office In room M194. Faculty and staff news items should be sent to Dr. Roberta Matthews, Associate Dean of Faculty, room SB65.

Perspective: LaGuardia Community College Newsletter (Winter 1982)

Vol. 10 No. 2; Perspective is a quarterly publication of LaGuardia Community College / CUNY which is designed and edited by the Office of Communications, Bill Freeland, director. Information on news and features stories should be addressed to the office In room M194. Faculty and staff news items should be sent to Dr. Roberta Matthews, Associate Dean of Faculty, room SB65.

Perspective: LaGuardia Community College Newsletter (Spring 1983)

Vol. 11 No.2; Perspective is a quarterly publication of LaGuardia Community College / CUNY which is designed and edited by the Office of Communications, Bill Freeland, director. Information on news and features stories should be addressed to the office In room M194. Faculty and staff news items should be sent to Dr. Roberta Matthews, Associate Dean of Faculty, room SB65.

Perspective: LaGuardia Community College Newsletter (Fall 1983)

Vol. 12 No.1; Perspective is a quarterly publication of LaGuardia Community College / CUNY which is designed and edited by the Office of Communications, Bill Freeland, director. Information on news and features stories should be addressed to the office In room M194. Faculty and staff news items should be sent to Dr. Roberta Matthews, Associate Dean of Faculty, room SB65.