Assessment of prescription writing practices in a government tertiary care hospital in Haryana by using WHO prescribing indicators

Singh, Kamaldeep; Bhutani, Garima; Rani, Seema; Saini, Rahul

doi:10.18203/2319-2003.ijbcp20194129

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…1,5 About 95.8% of drugs were prescribed from NEML/ formulary with statistically significant p-value between geriatric wards (P=0.001). Our result was supported by the studies conducted in Ethiopia (96.6%), 4 Egypt (95.4%), 15 Lao People's Republic (86.2%) 26 and Indonesia (83.07%). 11 However, lower value as compared to this study was also reported in Serbia (70%) 27 and India (66%).…”

Section: Prescribing Indicatorssupporting

confidence: 86%

Assessment of Medication usage in Geriatric Wards in a Teaching Hospital

Khan¹,

Khan²,

Zafar³

et al. 2019

IJOPP

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Introduction: Evaluation of medication usage pattern is crucial for the better patient care, particularly for the geriatric who often have experience with multiple therapy and problems. This study was conducted to investigate the medication usage in elderly patients through a validated World Health Organization (WHO) indicators. Methods: A retrospective crossectional and non-interventional study was conducted in the geriatric outpatient departments in a teaching hospital (Islamabad, Pakistan). The patients aged ≥60 years visiting the geriatric medical outpatient and emergency department from September 2018 to April 2019 were selected through random systematic sampling technique. The collected information was evaluated according to the WHO recommendations. Results: A total of 3,792 drugs were prescribed (average drug per prescription= 5.2 (Range 4-8) in 720 elderly patients. Out of these, antimicrobials were prescribed in 76.4% (n=550), at least one injectable medication in 63.9% (n=460), generic prescribing in 30% (n=1141) and prescribing from National essential list/hospital formulary in 95.8% (n=3634) of the prescription. A statistically significant difference was observed between prescribing practices and WHO optimal values (P<0.001). The most frequently prescribed class of antimicrobials was cephalosporins (65.3%) and ceftriaxone (41%), ciprofloxacin (13.6%) and cefuroxime (10.7%) were the most commonly used antibiotics. Conclusion: The major problems identified in this study were polypharmacy, low generic prescribing, higher usage of antimicrobials and injectable. A special attention is required by the healthcare authorities for the better care of the geriatric patients.

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Section: Prescribing Indicatorssupporting

confidence: 86%

Assessment of Medication usage in Geriatric Wards in a Teaching Hospital

Khan¹,

Khan²,

Zafar³

et al. 2019

IJOPP

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“…The reported ADT is two times higher than that reported in India (3 minutes) and much higher than that reported in KSA (1.5 minutes) and Kuwait (1 minute). 6,22,23 It is known that short ADT is insufficient to explain the dosage regimen, adverse effects of drugs and all precautions, while the reported ADT is longer in comparison to the previous studies, this might be due to the fact that the pharmacist spent a longer time explaining to the patient the insured and non-insured medication in the prescription as HICKS do not cover full insurance for all medication.…”

Section: Discussionmentioning

confidence: 74%

Assessment of patient satisfaction toward pharmaceutical benefit package provided by a health insurance corporation of Khartoum State

Mohamed

Hussain²,

Alhaj

2022

F1000Res

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Background: Patient satisfaction is an important measure of health service and a key indicator of the quality of health service. Studies focus on how to improve quality rather than patient satisfaction. This study was conducted to identify patients’ satisfaction with the pharmaceutical service package of Health Insurance Corporation of Khartoum State in Jabal-Awliya locality, Khartoum, Sudan. Methods: A cross-sectional study was conducted between January and August 2020. Data were collected using a structured questionnaire. Satisfaction was estimated using the Likert Scale. The association between patient’s satisfaction and patient care indicators, namely: average dispensing time, percentage of medicine dispensed and labelled, and patient correct dose knowledge were assessed using Chi- square test, where a p-value < 0.05 was considered significant. Results: Out of 378 participants, the mean age was 47 with a comparable frequency of male and female participants (49.3% and 50.7% respectively). The mean satisfaction was 62.2% (3.11 ± 0.68). Most of the participants were satisfied with the way the pharmacist dealt with them (3.7, ± 0.778), while a low mean of satisfaction was reported regarding the availability of medicine within the pharmaceutical benefit package (2.06, ± 1.17). Average dispensing time was 5.78 minutes (p = 0.002), a low percentage of medicine actually dispensed and labelled was observed at 67% and 58% respectively (p = 0.00). A higher patient knowledge was reported 96.6% (p = 0.00), and the majority of the patients were able to pay 65% (p = 0.00). Conclusion: The current study demonstrates a comparable satisfaction score. However, medication unavailability is the main factor that affects patient satisfaction.

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“…no.-9 percentage than the ideal WHO standard (100%). The percentage of dispensed drugs was found to be less than the average percent values reported at the tertiary care hospital in Ludhiana, India (100%) 36 , and Alexandria Egypt (95.5%) 37. However, an inadequate drug supply has its implications on patients' health status and patient's convenience and trust in health system.…”

Section: Discussionmentioning

confidence: 75%

Assessment of Prescribing and Dispensing Practices Based on WHO Core Prescribing Indicators in Hospital and Community Pharmacies in Khartoum State - Sudan

Rabie¹,

Kheder²

2020

JMID

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Background Rational drug management has become an increasingly important topic in order to make optimal use of the drug budget to offer health services of the highest possible standard. It is important that continuous assessment for rational prescribing and use of drug have to be carried. Objective of this study was to gather data on existing drug prescription and dispensing practices and to evaluate the prescribing and dispensing indicators as described by the WHO. Method Observational, cross-sectional, prospective study was designed and conducted to evaluate the performance of hospital and community pharmacies in Khartoum state, related to rational drug use and prescribing and dispensing practices during the period from November 2018 to March 2019. 297 Hospital and community pharmacies from public and private sectors were contacted for carrying out this study survey and the collected data were analysed against WHO standards for core drug use indicators. Results The average number of drugs per encounter was 3.98 drugs. Hospital pharmacies had a higher (4.18±1.516) number of drugs prescribed than community pharmacies (3.87±1.331) with significance difference between mean of two types of pharmacies (P = 0.015). The percentage of antibiotic per prescription was (53.7%). Antibiotic prescribing was much higher (54.0%) in the hospital pharmacies compared to (48.6 %) in community pharmacies. The average percentage of injections per prescription at the facilities was found to be (57.6%). The percentage of prescription with written diagnosis was (26%.0) and the percentage of prescriptions with written dose was (78%.0). The average dispensing time was (1.75) minutes, The Percentage of drugs actually dispensed was (55.99%), the average adequacy of labelling of drugs was (30.4%). Overall prescribing and dispensing indicators were higher than WHO standard. Conclusion The degree of poly pharmacy was greater than of WHO criteria. The completeness and rationality of prescription was found suboptimal and components were missed.

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Assessment of prescription writing practices in a government tertiary care hospital in Haryana by using WHO prescribing indicators

Cited by 7 publications

References 5 publications

Assessment of Medication usage in Geriatric Wards in a Teaching Hospital

Assessment of Medication usage in Geriatric Wards in a Teaching Hospital

Assessment of patient satisfaction toward pharmaceutical benefit package provided by a health insurance corporation of Khartoum State

Assessment of Prescribing and Dispensing Practices Based on WHO Core Prescribing Indicators in Hospital and Community Pharmacies in Khartoum State - Sudan

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