Prescribing errors cost lives. But in most UK hospitals, doctors still use handwritten drug charts. Think cluttered, cramped, and easy to get wrong. At Imperial College Healthcare NHS Trust, critical details like dose, duration, and even the prescriber’s name were regularly left blank. So a cross-disciplinary team rebuilt the paper chart using behavioural design. No new training. Just a better form. The result? Safer prescribing and a 99.4 % name completion rate, up from zero.

At a glance

  • Audience: Foundation‑Year hospital doctors
  • Exposure · Duration: 29 doctors · one‑hour in‑situ simulation
  • Location: London, UK. Imperial College Healthcare NHS Trust
  • Project type: Beta test (live simulation)
  • Delivered by: Imperial College London & UCL design team
  • Client: Imperial College Healthcare NHS Trust

Problem:

Doctors skipped critical fields on cramped handwritten charts, meaning dose, indication, even their own name vanished in the clutter.

Solution:

The IDEAS chart decluttered the page, added bold boxes for dose, duration, indication, and required name + bleep lines. No extra training, just better design.

Outcome:

99.4% of prescriptions included the prescriber’s name (up from 0%); 83.5% listed a contact number (up from 31.6%); dose accuracy hit 100%; antibiotic duration jumped from 51.7% to 92.9%

▲ Silver

Controlled in‑situ simulation; n = 29 doctors.

What do the ratings mean?
Illustration of Support steps tactic – step‑by‑step fields
3 Support steps

A checklist at the start of the form breaks the job into clear, bite-sized actions and walks the prescriber through each one.

Illustration of Make it stand out tactic – bold headings
18 Simplify

Removing confusing areas, adding additional to simplify input. In a booklet format with patient details always in view.

Illustration of Make it stand out tactic – bold headings
6 Make it stand out

Vital information, like allergy informtion, was on every page and highlighted in red.

Share this post