Background: Medication error is defined as any avertable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient and consumer. Medication errors may occur at any stage of the medication use process including ordering, transcription, dispensing, administering and monitoring. Objective: The objective of the study is to assess the medication errors in a tertiary care hospital and to categorize them based on their nature and type. Methodology: A prospective observational study was conducted over a period of 3 months in a tertiary care teaching hospital. This study was carried out among 240 inpatients, admitted in General Medicine department of the hospital, who were selected randomly. During the study, inpatients case records were reviewed, which includes patient’s case history, diagnosis, medication order sheets, progress chart, laboratory investigations. The data collected were analyzed for identifying medication errors such as prescribing errors and administration errors. Each reported medication error was assessed using the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) proposed index for categorizing medication errors. Results: A total number of 240 inpatients were enrolled in the study, out of which 82 patients have developed medication errors. The overall percentage of observed medication error was 34.16%. In our study medication errors were found more in males (70.7%) than in the females (29.3%). Prescribing errors (62.19%) were the most frequently occurring type of error, which was followed by administration errors (37.8%). In our study, we found that medication errors were more with antibiotics (37) followed by NSAIDs (19). 96 prescriptions were found having drug interactions. Conclusion: This study concludes that the overall incidence of medication error was found to be 34.16%. Most of the medication errors are clinically significant and it can prevent by working together in a health care team.
Background: Menstruation is defined as periodic discharge of blood from uterus occurring more (or) less at regular monthly intervals throughout the active reproductive life of a female. Hygiene-related practices of women during menstruation are considered important because it can increase vulnerability to reproductive tract infections (RTIs).Methods: A prospective, observational study was done for a period of 6 months to assess the reproductive health problems and menstrual hygiene practices among women in rural population. It was conducted by first considering RTI cases among female in-patients of obstetrics and gynaecology department at MNR hospital, Sangareddy, Telangana, on the basis of which the study was extended to certain villages of Andole Mandal, where RTIs were found to be more prevalent. The data was collected using pre designed and semi-structured questionnaire.Results: Out of 106 cases taken in the hospital, cervicitis was most prevalent 40 (37.7%). A maximum of 36 (34%) cases were from Andole Mandal, so the community-based study was done here. Among the 710 subjects considered, 206 (29%) were found to use sanitary napkins and 85 (12%) of them used disposable cloth. Majority 392 (55.2%) of the women disposed their menstrual absorbent by burning and many were presented with RTI symptoms such as lower abdominal pain, vaginal discharge.Conclusions: In the health status of women among the reproductive age group, RTIs are known to pose a serious and continuing threat, which has become a silent epidemic that devastates women’s life which is closely related with poor menstrual hygiene. Hence, there is an urgent need to provide accurate and adequate information about hygienic practices to be followed during menstruation, so as to enable them to lead a healthy reproductive life.
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