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. 2018 Jan 9;27(8):655–663. doi: 10.1136/bmjqs-2017-007333

Table 3.

Model estimates of factors associated with prescribing errors

Variable Rate ratio 95% CI P value
Legal/procedural errors
  Interruptions while prescribing (any vs none) 1.08 0.77 to 1.51 0.66
  Multitasking while prescribing (any vs none) 1.86 1.35 to 2.56 <0.001
  Doctor’s seniority*
   Consultant (reference) 1
   Registrar 1.27 0.92 to 1.75 0.14
   Senior resident medical officer 0.53 0.37 to 0.75 <0.001
   Resident medical officer 0.71 0.45 to 1.12 0.145
  Doctor’s OSPAN score 0.98† 0.97 to 0.99 <0.001
  Doctor’s sleep during previous night
   Above average 0.89 0.66 to 1.22 0.48
   Average (reference) 1
   Below average 1.33 0.76 to 2.30 0.32
Clinical errors
  Interruptions while prescribing (any vs none) 2.82 1.23 to 6.49 0.015
  Multitasking while prescribing (any vs none) 1.91 0.79 to 4.65 0.154
  Patient’s age 1.05‡ 1.02 to 1.08 <0.001
  Doctor’s seniority
    Consultant (reference) 1
    Registrar 18.58 2.82 to 122.56 0.002
    Senior resident medical officer 24.62 1.62 to 374.09 0.021
    Resident medical officer 55.86 4.10 to 760.82 0.003
  Doctor’s age 1.07‡ 1.00 to 1.15 0.058
  Doctor’s OSPAN score 0.98† 0.97 to 0.99 0.002
  Doctor’s sleep during previous night
   Above average 1.96 0.78 to 4.91 0.153
   Average (reference) 1
   Below average 16.44 4.84 to 55.81 <0.001

*In Australia, specialty training commences at registrar level. Resident medical officers have 1–2 years postgraduate experience; senior resident medical officers 2–3 years postgraduate; registrars>3 years postgraduate and are engaged in specialty emergency medicine training; and staff specialists or consultants have >5 years postgraduate experience, as well as completion of specialty emergency medicine training.

†Change in error rate per one-point increase in OSPAN score.

‡Change in error rate per 1-year increase in age.