Introducing a structured prescription form improves the quality of handwritten prescriptions in limited resource setting of developing countries

Raza, Usman; Latif, Sana; Naseer, Anum; Saad, Maryam; Zeeshan, Muhammad; Qazi, Umair

doi:10.1111/jep.12522

Cited by 5 publications

(3 citation statements)

References 41 publications

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“…The quality of drug care provided to patients is largely dependent on the quality of the medical prescription [1]. Unfortunately, prescribers attach in general, little importance to the quality of the drafting of their medical prescriptions, while these are supposed to be the basis of the good medication of their patients [2]. The medical prescription is an act sufficiently legislated given its importance and must hence be written accurately, completely and legibly [3].…”

Section: Introductionmentioning

confidence: 99%

Quality of medical prescriptions from Mwangeji Hospital and Gécamines Kolwezi Staff Hospital in Kolwezi, Lualaba province, DR Congo

Mutomb-a-Kaj¹,

Shakalenga²,

Ndahetwa³

et al. 2021

World J. Adv. Res. Rev.

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The medical prescription is a very important tool of communication between the physician, the patient and the pharmacist. Ambiguities and omissions of data on prescription can cause errors in drug delivery and administration and so far, endanger patients. This study was undertaken to assess the quality of medical prescription delivered in Mwangeji General Hospital (HGR Mwangeji) and Gécamines Kolwezi staff hospital (HPK-Gécamines), two health facilities in the town of Kolwezi. Medical prescriptions were collected between October 2017 and March 2018, in the pharmacy services of these two hospitals. The quality was assessed based on the presence or not of mandatory administrative and pharmacotherapeutic information. The results revealed very alarming rates of omission of legal and mandatory mentions concerning: (i) the identity of patients, their weight 92.3%, their sex 54.9% and their age 53.9%; (ii) the identity of prescribers, the date of issue of the document 97.8%, the signature 93.4% and the name 82.1%; (iii) pharmacotherapeutic data, duration of treatment 95.9% and route of administration 93,7%. Antibiotics were the most prescribed drugs in the two hospitals; 26,6% at HPK Gécamines and 23 at HGR Mwangeji. The quality of medical prescriptions at Mwangeji and HPK Gécamines hospitals, could lead to wrong or inadequate medical interventions with a negative impact on the quality of care administered to patients.

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Section: Introductionmentioning

confidence: 99%

Quality of medical prescriptions from Mwangeji Hospital and Gécamines Kolwezi Staff Hospital in Kolwezi, Lualaba province, DR Congo

Mutomb-a-Kaj¹,

Shakalenga²,

Ndahetwa³

et al. 2021

World J. Adv. Res. Rev.

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“…In resource-limited settings where integrated computer systems are not readily available, introducing a structured prescription form may improve the quality of handwritten prescriptions in terms of completeness as well as legibility. 9 To this end, the prevalence of prescription errors at tertiary health-care facilities in the Hail region, Saudi Arabia was alarmingly high. 10 Studies examining completeness and legibility of handwritten prescriptions in Sana'a, Yemen indicated that the quality and completeness of prescriptions was found to be very poor.…”

Section: Introductionmentioning

confidence: 99%

<p>Hospital-Level Antibacterial Prescribing and Its Completeness in Ethiopia: Did It Adhere to Good Prescribing Practice?</p>

Sisay¹,

Gashaw²,

Amare³

et al. 2020

IJGM

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Background: Antibacterial agents are an integral part of chemotherapy and play a critical role in the prophylaxis and treatment of bacterial infections. However, prescribing errors such as incomplete prescriptions that do not adhere to good prescribing practice have become a contemporary concern in hospitals in resource-limited settings. Therefore, this study aimed to assess antibacterial prescribing and its completeness among prescriptions dispensed at four governmental hospitals in Eastern Ethiopia. Methods: A cross-sectional study was employed to assess a total of 1308 prescription encounters containing at least one antibacterial agent obtained with simple random sampling from annual antibacterial-containing prescription data of four hospitals. The data were collected retrospectively using a structured checklist. Results: A total of 2,855 drugs were prescribed from 1308 prescribing encounters with 1496 (52.39%) being antibacterial agents. The name, age, sex, and diagnosis of the patients were written in 1158 (88.3%), 815 (62.31%), 796 (60.58%), and 183 (13.99%) prescriptions, respectively. Besides, the route of administration, strength, duration, quantity, dose, and dosage form of the drug were recorded in 2322 (81.33%), 2118 (74.19%), 1516 (53.10%), 1525 (53.42%), 746 (26.13%) and 563 (19.72%) prescriptions, respectively. Nearly 50% of the prescribing encounters were documented without a prescriber name. Dispenser name and signature were also obtained in less than 10% of the prescriptions. Combining the data of all hospitals, amoxicillin, ceftriaxone, and ciprofloxacin were identified as the top three prescribed antibacterial drugs, whereas diclofenac, paracetamol, and tramadol were the most frequently co-indicated drugs. Regarding the pharmacologic class of antibiotics, penicillins were the most commonly prescribed antibiotics (n = 596, 39.77%) followed by cephalosporins (n = 318, 21.26%) and fluoroquinolones (n=285, 19.05%). Conclusion: Incomplete information about patient-related factors and major diagnosis, medication regimens, prescribers and dispensers was identified as a potential prescribing error and did not adhere to good prescribing practice. This can be considered as one part of the inappropriate use of antibacterial agents, a driving force for the emergence of antimicrobial resistance. This problem requires immediate and sustained action from the management of the hospitals to ensure the accountability of health professionals involved in the medication use process and to establish antimicrobial stewardship programs in such resource-limited settings.

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“…For that reason, health care professionals must continually updated their knowledge on drug prescription, dosages, risks, and side effects 3 . However, according to the World Health Organization (WHO), more than half of these drugs are prescribed and dispensed inappropriately 4 .…”

Section: Introductionmentioning

confidence: 99%

Padrão das prescrições odontológicas realizadas por futuros profissionais

et al. 2020

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O objetivo do estudo foi analisar o conhecimento dos estudantes de Odontologia acerca da prescrição medicamentosa. Trata-se de um estudo transversal e quantitativo, realizado com estudantes do último semestre do curso de Odontologia de uma instituição pública de ensino superior. Para a realização do estudo, uma folha em branco com a palavra “Receita” no cabeçalho foi fornecida aos estudantes para que uma prescrição medicamentosa fosse realizada da forma que julgassem pertinente. Os pesquisadores desenvolveram um instrumento para a análise dos documentos em questão. Em seguida, os dados foram tabulados para posterior análise das variáveis. Os resultados foram apresentados em frequências absolutas e percentuais. Para verificação do conhecimento dos estudantes acerca das subdivisões dos documentos empregou-se o Teste Binomial de duas proporções, com nível de significância de 5%. Observou-se que em 85,56% das prescrições a adscrição não estava presente. Em 64,44% das receitas, a identificação do paciente não estava presente, e o carimbo não foi utilizado em 67,78%. Conclui-se que parte das prescrições analisadas estavam em desacordo em alguns elementos formais necessários no documento.

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Introducing a structured prescription form improves the quality of handwritten prescriptions in limited resource setting of developing countries

Abstract: Structuring a prescription form alone may improve certain aspects of quality of written prescription in terms of completeness and legibility.

Cited by 5 publications

References 41 publications

Quality of medical prescriptions from Mwangeji Hospital and Gécamines Kolwezi Staff Hospital in Kolwezi, Lualaba province, DR Congo

Quality of medical prescriptions from Mwangeji Hospital and Gécamines Kolwezi Staff Hospital in Kolwezi, Lualaba province, DR Congo

<p>Hospital-Level Antibacterial Prescribing and Its Completeness in Ethiopia: Did It Adhere to Good Prescribing Practice?</p>

Padrão das prescrições odontológicas realizadas por futuros profissionais

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