1. Following the Foundation SCRIPT
Nicky Robson/ Emily Downes/Laura Emery
Foundation Programme Support/ Leadership

2. SCRIPT – why?
In the UK, medication errors account for 10–20% of all adverse events in the National Health Service (NHS), and preventable harm from medicines is estimated to cost more than £750 million each year. A quarter of litigation claims in the NHS also stem from such errors.
The EQUIP study found year 1 and year 2 trainee doctors prescribed with an error rate of 8% and 10%
In 2014 there were 20 SUI/RCA/Exception reports that involved Foundation trainees that related to prescribing errors. (10 in each year)

3. SCRIPT – who?
Health Education West Midlands (or then the Strategic Health Authority) commissioned the Universities of Birmingham, Warwick and Keele to develop an online eLearning programme to improve prescribing competency of trainee doctors.
SCRIPT (Standardised Computerised Revalidation Instrument for Prescribing and Therapeutics)

4. SCRIPT – What? (1) 4 Mandatory Modules Drug allergy & anaphylaxis
Poisoning
Cardiac arrest
Fluids
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5. SCRIPT – What? (2) 6 others from Principles of Prescribing (9)
Prescribing in Medical Emergencies (5)
Managing the Risks of Prescribing (6)
Prescribing in Special Circumstances (8)
Therapeutic Groups (10)
Clinical Governance (3)
Advanced Prescribing (3)
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6. SCRIPT - mechanics Pre test /module /post test – certificate
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7. SCRIPT – Top 5 4 mandatory modules (1282) Allergy & Anaphylaxis 1130
Cardiac Arrest 1078
Poisoning 1068
Fluids 1063
Diabetic Emergencies 680
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8. SCRIPT – Highest Av Post test Scores
Cardiac Arrest – 90 % (1078)
Prescribing in Infection – 87% (120)
Respiratory Medicine – 86% (130)
Breastfeeding – 85% (47)
Pregnancy – 85% (116)

9. SCRIPT – Most improved Pregnancy 28% Adverse Drug Reactions 26%
Diabetic Emergencies 26%
Poisoning 25%
Toxic Tablets 25%

10. “Regional” FY1 – Cardiac Arrest
East 165 completed - av pre post
South 146 completed - av pre post
West 294 completed – av pre post

11. Let’s give it a go !