Prescription audit at a tertiary care teaching hospital

Rai, Smitha; Krishnaswamy, Bhuvana; Sowmya, C.; Hv, Sahana; Yaseen, Mohammed

doi:10.5455/njppp.2018.8.0411311052018

Cited by 4 publications

(9 citation statements)

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“…Prescriptions are an important intervention for the physician and it is an ethical and legal duty on behalf of the practitioner to write complete prescriptions with generic drug names in legible hand writing. 5 Prescription auditing is used as one of the important tools to assess misuse of drugs as well to improve the rational usage of drugs. 5 Keeping this in mind, the present study was undertaken by quality assessing committee members of SGT Hospital, Gurugram, Haryana, India.…”

Section: Discussionmentioning

confidence: 99%

“…5 Prescription auditing is used as one of the important tools to assess misuse of drugs as well to improve the rational usage of drugs. 5 Keeping this in mind, the present study was undertaken by quality assessing committee members of SGT Hospital, Gurugram, Haryana, India. The locale comprises rural communities and more than 80% of the population has very limited literacy or knowledge regarding drugs.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] Prescription writing assessment is considered an important parameter to ensure rational drug use. 5 Rational use of drugs is essential to achieve good quality health care for patients as well as for the community. 5 It ensures that patients are advised medications which are appropriate for their clinical needs and in doses that suits each patient's individual requirements and that they are prescribed for adequate period with minimum cost to patients and the community.…”

Section: Introductionmentioning

confidence: 99%

“…5 Rational use of drugs is essential to achieve good quality health care for patients as well as for the community. 5 It ensures that patients are advised medications which are appropriate for their clinical needs and in doses that suits each patient's individual requirements and that they are prescribed for adequate period with minimum cost to patients and the community. 6 Irrational prescription may lead to ineffective treatment, which may subject the patient to prolongation or exacerbation of illness, unnecessary mental distress, untoward side effects and higher expenses.…”

Section: Introductionmentioning

confidence: 99%

“…8 Based on such indicators, various studies have been done in countries across the globe, including India. 1,2,4,5,8 With the use of such prescribing indicators, auditing prescription forms is an important part of drug utilization studies. These include, but are not limited to average time for consultation, average time for dispensing of medicines/ drugs, actual percentage of dispensed drugs, percentage of drugs labelled correctly, knowledge of patients regarding correct drug dosage and also facility indicators which include availability of key drugs and an essential drug formulary.…”

Section: Introductionmentioning

confidence: 99%

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Study on Prescription Audit from a Rural Tertiary Care Hospital in North India

Sharma¹,

Payal²,

Devi³

et al. 2021

J. Pure Appl. Microbiol.

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Evidence concerning prescription audits conducted in developing countries like India is scarce, especially from the rural parts of the country. Therefore, the present prescription audit was undertaken in a rural tertiary care hospital to investigate prescriptions for their completeness, in format of prescription, legibility of writing and it was assessed against the World Health Organization (WHO) recommendation of core indicators for prescription writing in order to investigate the rational usage of drugs. A total of 200 prescriptions were randomly selected, irrespective of clinical departments, patient characteristics and diagnosis over a period of six months. All the prescriptions were prospectively analyzed and conferred to an assessment of the quality of prescribing practice, general details, medical components, WHO core drug use indicators and legibility. Amongst the 200 prescriptions precisely monitored, we found that 100% prescriptions had general details of the patients such as name, age, gender, OPD/IPD registration number, hospital name & address and consulting unit/department. While evaluating the handwriting of the doctors, 83.5% (177/200) of the prescriptions had legible handwriting, wherein the degree of legibility showed 68.5% (137/200) prescriptions with easy legibility, 20% (40/200) difficult legibility while 11.5% (23/200) were illegible. Along with the different types of drugs obtained from the selected prescriptions, we found that antibiotics were prescribed in 51.5% (103/200) of the prescriptions. A prescription audit is a good tool to systemically review the day to day work, maintenance of records and assessment of accuracy of the diagnosis given by doctors and also the outcome of the treatment received.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Study on Prescription Audit from a Rural Tertiary Care Hospital in North India

Sharma¹,

Payal²,

Devi³

et al. 2021

J. Pure Appl. Microbiol.

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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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Prescription audit of antihypertensive drugs used in stroke patients in a tertiary care teaching hospital

Shaji¹,

George²,

Shrestha³

et al. 2021

Int J Basic Clin Pharmacol

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Background: Stroke is considered as one of the important reasons of death and disability worldwide. A rational use of medications is needed to prevent the recurrence and the disease related complications.Methods: The current study is a prospective observational study. All stroke cases, with patients above the age of 25 and treated with antihypertensive agents were included in the study. A total of 189 patients were found suitable for inclusion in the study. Using a suitably designed data collection form, all pertinent data such as patient demographics, prescribed medicines, drug interactions and adverse drug reactions were collected from the patient’s case file, nurses’ charts, and medication charts. Prescription pattern of antihypertensive drugs were obtained. The causality of the ADR was assessed using the Naranjo causality assessment scale and reported in the institution where the study was conducted.Results: Majority of patients included in the study were in the age group of 61-70 years. The incidence of stroke in this study was more in males than in the females. Ischemic stroke (72%) was more prevalent when compared to Hemorrhagic stroke. Among the antihypertensive agents, calcium channel blockers (32%) were the most commonly prescribed class of drugs. In our audit, drug related problems were observed in 27% of the cases which included cases with improper dose (3 cases), contraindications (4 cases), major drug interactions (20 cases), and adverse drug reactions (17 cases). Most of the prescriptions were legible. Drug related problems had a great impact on the overall stroketherapy.Conclusions: The drug related problems are a relevant aspect to be considered when treating patients with stroke and it can arise irrespective of adherence to guidelines.

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Prescription audit at a tertiary care teaching hospital

Cited by 4 publications

References 0 publications

Study on Prescription Audit from a Rural Tertiary Care Hospital in North India

Study on Prescription Audit from a Rural Tertiary Care Hospital in North India

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

Prescription audit of antihypertensive drugs used in stroke patients in a tertiary care teaching hospital

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