Análisis de la prescripción al alta en urgencias. Impacto económico

Ruiz-López, J.; Hernández, Miguel Ángel Calleja; Manzorro, Alvaro Giménez; Sáez, María Sanjurjo

doi:10.1016/s1130-6343(09)70996-1

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…[12] In contrast to our study, the most common indication for drug prescription in the Indian study was infection (19%), while infection was the third most common indication for drug prescription in our study (15%). Paracetamol was also the most commonly prescribed drug (10%) in a study conducted at the ED in Spain,[11] which is similar to our study results, followed by ibuprofen-an NSAID-(9%) and omeprazole (7%). However, in the Spanish study,[11] the most common indication for drug prescribing was the GIT and metabolism (22%) followed by blood and hematopoietic system (2%), which is almost similar to our data.…”

Section: Discussionsupporting

confidence: 90%

“…Paracetamol was also the most commonly prescribed drug (10%) in a study conducted at the ED in Spain,[11] which is similar to our study results, followed by ibuprofen-an NSAID-(9%) and omeprazole (7%). However, in the Spanish study,[11] the most common indication for drug prescribing was the GIT and metabolism (22%) followed by blood and hematopoietic system (2%), which is almost similar to our data.…”

Section: Discussionsupporting

confidence: 90%

“…Another study conducted in Spain ( n = 669) showed an average number of drugs per prescription of 1.7. [11] In addition, a study on elderly patients ( n = 124) presented to the ED in the USA found an average number per prescriptions of 8.6 (range 0-21). [12] One reason for the higher average number of drugs per prescription in USA compared with the WHO standards is that physicians tend to administer polypharmacy during the initial contact with patient while the diagnosis is not yet confirmed and waiting for laboratory results.…”

Section: Discussionmentioning

confidence: 99%

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Drug utilization patterns in the emergency department: A retrospective study

Balushi

Al-Shibli

Al‐Zakwani

2014

J Basic Clin Pharma

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Objectives:The aim of this study was to assess the prescribing trends and costs of drugs in the emergency department (ED) at Sultan Qaboos University Hospital (SQUH), a tertiary care hospital, in Muscat, the Sultanate of Oman.Materials and Methods:This was a retrospective cross-sectional study of all patients (n = 300) who attended the ED at SQUH in May 2012. Analyses were performed using descriptive and univariate statistics.Results:The average age of patients was 34 ± 19 years. The average number of drugs prescribed per patients was 3.2 ± 1.9 and the majority of the patients (n = 78; 26%) received two drugs. The most common route of drug administration was the oral route (n = 481; 51%) followed by parenterally (n = 357; 38%). Non-steroidal anti-inflammatory drugs (NSAIDs) were the most commonly prescribed class of drugs (38%) followed by the gastro-intestinal tract drugs (19%) and central nervous system drugs (13%). The average cost per prescription was 242 ± 632 US$. Morphine had the highest cost (1885 US$) followed by cefuroxime (1404 US$) and filgrastim (939 US$) over the 1-month period. There was a significant positive correlation between hospital cost and age (P < 0.001), duration of stay at the ED (P = 0.008) and emergency types (P < 0.001).Conclusion:NSAIDs were the most frequent class of drugs administered to patients. Highest number of drugs was prescribed for cardiovascular diseases followed by respiratory and gastrointestinal diseases. Anti-infective drugs cost was the highest among all other classes. The results of the present study are attempts to highlight the importance of strategies that have to be implemented to optimize medication use at the ED.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Drug utilization patterns in the emergency department: A retrospective study

Balushi

Al-Shibli

Al‐Zakwani

2014

J Basic Clin Pharma

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“…Although the percentages reported in the bibliography are similar [21,28] , they shouldn't be considered as optimal. There are generic drugs available for quite a considerable proportion of the drugs prescribed.…”

Section: Discussionmentioning

confidence: 99%

“…GPS are not commonly used by hospital pharmacists. In Spain, the main problem for the extensive implementation of generic drugs is that traditionally they have not been used, mainly due to the limited information available to healthcare professionals and the absence of official lists of widely available generic medication [28] . It has been shown that the level of information held by physicians and the controversy about the therapeutic equivalence between generic medication and those of reference could be some of the crucial factors causing a lack of implementation of generic specialties.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the quality and appropriateness of medical prescriptions in the hospital discharge report

Rodríguez

Valverde

Torres

et al. 2014

JHA

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Objectives: The aim of this research has been to evaluate: (a) the frequency of the use of non-standard terms in medical prescriptions; (b) the proportion of “new drugs of irrelevant therapeutic value” or medication of low therapeutic utility (LTU); and (c) the use of Generic Pharmaceutical Specialties (GPS). Materials and methods: Descriptive transversal observational study with analytical components over the hospital discharge reports issued in a year. The main variables of the results were: a) the proportion of prescriptions with abbreviations, symbols or expressions of non-recommended doses in the discharge report, b) the frequency of prescriptions of pharmaceutical specialties without the relevant contribution (NRPS), c) the proportion of LTU medication in the hospital discharge reports, d) the frequency of GPS or, if they are not available, the Common International Denomination (CID) of the active ingredient in the discharge reports, and e) the mean cost per prescribed medication in the hospital discharge report. Results: A total of 854 discharge reports have been studied containing 4,055 medical prescriptions. A considerable number (38.8%) of the medical prescriptions in the discharge report have used abbreviations and non-recommended symbols for dose expression. The prescription of new drugs of irrelevant therapeutic value reached 2.8% while the prescription of pharmaceutical products of LTU was 2.1%. Only 13.8% of the prescriptions were carried out as an active ingredient. The mean cost per prescription was 17.3 euros (SD = 31.34). Conclusions: Appropriateness in the prescription of medication at hospital discharge is considered to be not satisfactory and our results are consistent with other previously published reports. However, there are frequent errors in the prescription of medication and given the demonstrated relationship between errors and possible adverse effects, it is necessary to introduce programs to raise awareness about the importance of the introduction of safe practices in the medical prescriptions of the hospital discharge report.

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