P42 An audit to assess prescribing of paediatric CD TTOs

Aim To establish the root cause leading to an increased amount of time spent for a pharmacist triage paediatric controlled drug (CD) take out (TTO) prescription. Method Mixed methods were used collect data. Initially, raw data was collected over period three weeks identify any CD TTO’s that required intervention from pharmacist. We recorded if correct TTO prescription template being used, number prescriptions, clinically and legally how long it took complete by (ward or dispensary based). The not sufficient accurate picture problem. For this reason, we also prescribing tests. open book tests are completed all new doctors coming in rotation. This is scenarios-based test question 10 asks them write using template. answers then audited. Results shows two thirds (67%) prescribers failed answer (CD question). indicates issue with reasons why they pass (i.e. and/or incorrect). One may be factor lack paediatrics compared adults practice/unfamiliarity). reduce their knowledge regarding requirements thus confidence competence practice. It established errors relation dose frequency found most frequent, which suggests clinical use available resources. causes can range appropriate training self-checks referring BNF other guidelines. Furthermore, live (two TTOs audited) showed 50% prescriptions written on template, prompting spend additional triaging it. On average, 40 minutes one Conclusions Changes needed address issues audit. Recommended immediate actions include making aware where templates implementing teaching sessions improve legal writing. In term, recommended add back Child Health medication chart (like have adult charts at our Trust). considering creating pocket guide consultation doctors, nurses pharmacists.