Assessment of quality of prescription writing among dental and medical students and practitioners in Kerala

Varghese, Naveen Jacob; Ramanarayanan, Venkitachalam; Janakiram, Chandrashekar; Joseph, Joe

doi:10.4103/jnsbm.jnsbm_108_17

Cited by 19 publications

(22 citation statements)

References 19 publications

(23 reference statements)

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“…The effect of training on the reduction of prescription errors was shown among dentistry students (14,15), medical students (10,16) and general practitioners (17,18). Prescription opportunities for midwifery students are less 4…”

Section: Discussionmentioning

confidence: 99%

Impact of Workshop Training on Prescription Writing Skills of Senior Midwifery Students

2020

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Background: Prescription writing is one of the most important stages of medical treatment, and following its principles improves efficiency and effectiveness of treatment. Midwifery students are the group of a medical team who are authorized to prescribe medications. However, clinical evidence suggests that their skills are inadequate in the area. Objectives: Therefore, this study was designed to investigate the effect of a workshop on the prescription writing skills of midwifery students. Methods: This was a quasi-experimental study conducted among 32 senior undergraduate midwifery students. The students were divided into two groups. A two-day workshop was held for each group. Each group was divided into three subgroups for practical work. The training was provided based on the general principles of prescribing in four parts including superscription, general principles of prescription, standard principles of prescription, and instruction of using medications. Adherence to the principles of prescribing by students was evaluated through a checklist before and after training and four weeks later. Data were analyzed with a general linear model and repeated measures analysis. Results: Patient's name was the most common record in the prescriptions. The mean number of drug items was 3.7 ± 0.04, which decreased to 2 ± 0.03 after the intervention. The name and signature of the prescribed drugs were in less than 15% of the prescriptions, with 85% improvement after the intervention. Moreover, 40.6% of the prescriptions were readable, but in none of them, the reason for visit and diagnosis were mentioned (over 50% increases after training). Form of drug, dose and medication number were listed in 45% of the prescriptions that rose to more than 70% in all the three cases. The most responses on the instruction of using the medication were related to the method of use and drug use intervals. Repeated measures ANOVA showed a significant difference in the mean scores of students' prescriptions after education and four weeks after the workshops in all the four parts of prescription principles (P < 0.001). This significant difference was also observed in all four common diseases in gynecology (P < 0.001). Conclusions: The prescription workshop had a significant positive effect on the knowledge and skills of midwifery students in the field of prescription writing. Therefore, this strategy can be used as a useful approach for the rational use of medicines by midwives. Because of the importance of prescription writing, we suggest including it in the curriculum of midwifery students.

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Section: Discussionmentioning

confidence: 99%

Impact of Workshop Training on Prescription Writing Skills of Senior Midwifery Students

2020

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“…Indication of patient's name and the date of the prescription are of vital importance of prevent misappropriation and loss. 6,14 Despite the fact that the skills of almost half of the students in writing out the drug orders on the prescriptions was deemed high, none of the students completely observed the principles for recording the drug orders. In a similar study, Guzmán-Álvarez et al evaluated a total of 66 lastyear dental students at Universidad Nacional Autónoma de México and reported that only 20 students (30.3%) followed the WHO Guide to Good Prescribing.…”

Section: Discussionmentioning

confidence: 99%

“…Signing a prescription is necessary for its formality and validity and is legally valuable: a prescription without a signature cannot be filled. 6 It appears that medical and dental students do not receive proper education in writing correct and complete prescriptions during their studies. The current educational programs are mainly based on basic principles of pharmacology, classification of drugs, side effects and toxicosis by drugs, with less time and attention devoted to the clinical administration of drugs.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, prescriptions may be known as an indicator of the quality of dental and medical education and observance of laws and rules. 6,11 A scientific search of electronic resources and databases of PubMed, EBSCO, and Google Scholar found no study on the determination of last-year dental students' knowledge about the principles of writing prescriptions at the Tabriz Faculty of Dentistry and only a limited number of studies has evaluated the skills of dental students in writing prescriptions at other universities and in other countries. The present study was undertaken to evaluate last-year dental students' skill in writing out prescription and their awareness of the principles and guidelines involved at the Tabriz Faculty of Dentistry.…”

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confidence: 99%

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Evaluation of Last-year Dental Students’ Skill at the Tabriz Faculty of Dentistry about Principles of Writing Prescriptions

Yazdani¹,

Kooshki²,

Pourkazemi³

et al. 2018

Res Dev Med Edu

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Introduction Writing prescriptions is one of the key skills acquired by dental students during their studies. 1, 2 This process has principles and guidelines that should be followed to improve the efficacy of treatment. In order to be able to write effective prescriptions, adequate knowledge of these guidelines is necessary. A proper education and practice will lead to better observation of these principles and guidelines. 1-3 When writing a prescription, the patient's personal data and the data on the prescribed medication, including medication name, dosage and route of administration, are written. At the end of the prescription, the personal data of the physician writing the prescription is also included. Errors in interpretation and medical errors can result if any of this information is missing. 2,4 Inattention to these principles can include mistakes in the name of the drug or the abbreviations, dosage, route of drug administration, the drug form and the duration of its use. These errors might give rise to ineffective or hazardous treatment. Furthermore, this might also exacerbate or lengthen the medical condition involved, induce side effects and inflict injuries to the patient and may increase the treatment cost. 4,5 Medical errors are broadly divided into two categories: errors in the diagnosis and decision-making process and errors in the prescription stage, including a lack of important and necessary data (dose, route of administration, frequency of use, etc). Errors in writing out prescriptions are some of the most common but avoidable errors in medicine. This comprises 39%-74% of all medical errors. 4-6

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“…The quality of medical education can be measured by prescriptions. 1,2 Prescription writing reflects the competency of the physician. 3 The recent medical graduates are practicing future physicians and also they are the stakeholders.…”

Section: Introductionmentioning

confidence: 99%

The view of recent medical graduates on ethical consideration of prescription writings in Bangladesh

Jahan

Flora

2021

Bangla J Med Educ

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Prescription writing reflects the competency as well as the quality of medical education of the physician. This study was done to evaluate opinion of recent medical graduates towards ethical aspects of prescription writing. This descriptive study was conducted on recent medical graduates of 7 medical colleges in Bangladesh from January’18-June’19. Data were collected by a pretested self administered semi-structured questionnaire. Only descriptive statistics were computed by collected data. The study included 308 recent medical graduates having average age at commencement of internship was 24.2 years with male predominant (53.2%). Majority of the respondents thought that prescription should be written in block letter or be printed (70.1%) and there was possibility for selling wrong medicine due to bad handwriting (77.6%). Majority of the recent medical graduates thought that generic names were not difficult to remember (82.8%), there was every possibility of selling poor quality drugs of the same generic names by the pharmacists (87.7%) and physicians should not use generic name in prescriptions (56.5%). Furthermore, most of them (92%) felt a need for a mandatory educational qualification for the pharmacists. Most participants opined that pharmacists should have a minimum educational qualification to prevent the errors in dispensing. The findings of this study might be helpful to reinforcement the law to avoid the errors related to medical professionalism and ethical aspects of prescription writing in the medical education. Bangladesh Journal of Medical Education Vol.12(1) 2021: 16-21

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Assessment of quality of prescription writing among dental and medical students and practitioners in Kerala

Cited by 19 publications

References 19 publications

Impact of Workshop Training on Prescription Writing Skills of Senior Midwifery Students

Impact of Workshop Training on Prescription Writing Skills of Senior Midwifery Students

Evaluation of Last-year Dental Students’ Skill at the Tabriz Faculty of Dentistry about Principles of Writing Prescriptions

The view of recent medical graduates on ethical consideration of prescription writings in Bangladesh

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