Audit of outpatient prescription at a tertiary care hospital in South India: An observational study

Dhamodharan, Anuranjani; Anandabaskar, Nishanthi; Selvaraj, Nitya; Ravindran, Meenakshi; Shanthi, M.

doi:10.5455/njppp.2021.11.03091202120032021

Cited by 1 publication

(3 citation statements)

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“…This may reduce underdosing or overdosing, subsequent treatment failure, and drug-drug interactions. 25 In Joshi et al's study, 61.34% of prescriptions were complete, while in the present study, 48% of prescriptions were complete. 26 Prescriptions of surgery and orthopedic department have an error of omission like the weight of the patient was not mentioned in a single prescription, and instructions to the patient were not mentioned (43% of prescriptions) in contrast to our study by Subramaniam et al where prescription error in surgery ward 97.75% and orthopedic ward 97.53%.…”

Section: Discussioncontrasting

confidence: 52%

“…12 In a study conducted by Dhamodharan et al which is similar to this study, at an outpatient tertiary care teaching hospital, dose and dosage schedule were mentioned in 98% of prescriptions, and route of drug administration was present in 98.8% of prescriptions. 25 In the present study, dosage schedule, route of administration, and frequency were mentioned in 100% of prescriptions. This may reduce underdosing or overdosing, subsequent treatment failure, and drug-drug interactions.…”

Section: Discussionmentioning

confidence: 99%

“…This may reduce underdosing or overdosing, subsequent treatment failure, and drug-drug interactions. 25 In Joshi et al’s study, 61.34% of prescriptions were complete, while in the present study, 48% of prescriptions were complete. 26…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Medication Errors by Prescription Audit at a Tertiary Care Teaching Hospital

Navadia,

Patel,

Patel

et al. 2023

Journal of Pharmacology and Pharmacotherapeutics

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Objective: The prescription errors and prescribing fault analysis was assessed, the rationality of the prescriptions was checked, and the medication error was categorized according to the NCC MERP Index. Methods: A cross-sectional, observational study was designed as per STROBE guidelines and conducted for 2 months in the pharmacy stores after approval of the Institutional Review Board. Patients’ written informed consent was taken before getting their prescriptions, and each of the prescriptions procured in this way was photographed for record. The completeness of 320 prescriptions of outpatients of all age groups regarding the details about the doctor and the patient and clinical diagnosis/indication was analyzed. The rationality of prescription was based on WHO core drug use indicators. Descriptive analysis was done by using Microsoft Excel. Results: A total of 320 prescriptions were analyzed from eight departments. Information about patients and prescribers was mentioned in 100% of prescriptions. The diagnosis (40%), an indication was written in 195 prescriptions. Instructions for dispensing drugs (89%), instructions to patients (90%), duration of treatment (100%), follow-up visits (19%), and non-pharmacological instructions (13%) were mentioned. In total, 82% of prescriptions were legible. In a total of 1004 drugs, 92% of drugs were prescribed with a generic name, 100% from the essential drug list. The route and frequency of drug administration were mentioned for all drugs. According to NCCMERP, the category of medication errors falls under category B. Conclusion: To reduce medication errors, we can implement an electronic system, involve clinical pharmacologists, utilize prescription charts, and organize nationwide workshops on rational prescription writing. We should encourage regular prescription audits and reporting to improve the healthcare system in the country.

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Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 99%