Assessment of Patient-Care, Facility Care, and Complementary Drug Use Indicators Among Elderly Patients in a Tertiary Care Hospital of Western Nepal

Giri, Sagarananda; Dulal, Parbati; Khan, Gulam Muhammad

doi:10.22159/ajpcr.2020.v13i8.37928

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…19,25,32,37,42,43,45,47,54,56 However, optimum consultation time was recorded by studies done at Debre Markos Referral Hospital, Northern Ethiopia (10.46 minutes); 66 in Rural Rwanda (10.1 minutes), and western Nepal (30.33 min). 33 The workload of the prescribers, the number of patients visiting the institutions, and the number of staff may affect the consultation time, so that the institutions should work on improving the consultation time.…”

Section: Patient Care Indicatorsmentioning

confidence: 99%

Evaluation of Rational Use of Medicine Using WHO/INRUD Core Drug Use Indicators at Teda and Azezo Health Centers, Gondar Town, Northwest Ethiopia

Sema¹,

Asres²,

Wubeshet³

2021

IPRP

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Background: Despite medicines are a major contributor to the health and well-being of the community, irrational use of medicines is being a serious public health crisis with significant harmful implications for patients, healthcare systems, and communities as a whole. Objective: This study was aimed at evaluating the rational use of medicine using the World Health Organization/Network of Rational Use of Drugs (WHO/INRUD) core drug use indicators at Teda and Azezo health centers of Gondar town, northwest Ethiopia. Methods: A cross-sectional study was conducted among 1200 prescription papers retrospectively, and 60 patients prospectively at two health centers of Gondar town, northwest Ethiopia from May 01/2019 to April 30/2020. The data were collected using a standard data collection checklist. Data were analyzed using SPSS ® version 24. The data were analyzed descriptively by using mean, frequency, and proportion. Results: Prescribing indicators: From a total of 2595 prescribed medicines, 94% of them were prescribed by generic name; percent encounters with injection was 9.5±0.28%, percent encounters with antibiotics was 73.85±0.35%, and 100% of medicines were prescribed from the essential medicine list of Ethiopia. Patient care indicators: Only 16.7% of the patients knew the correct dosage of their medications, and 17.5% of dispensed medicines were adequately labeled. From the prescribed medications, only 77.17% were actually dispensed. Average consultation and dispensing time were 5.35 minutes and 40.24 seconds, respectively. Facility-specific indicators: Only 83.5% of key medicines were available in the health centers. Conclusion:According to the WHO/INRUD core drug use indicators, rational medicine use is not achieved in terms of most components of the prescribing, patient care, and facilityspecific indicators. Therefore, both health centers should work towards promoting the rational use of medicines.

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Section: Patient Care Indicatorsmentioning

confidence: 99%

Evaluation of Rational Use of Medicine Using WHO/INRUD Core Drug Use Indicators at Teda and Azezo Health Centers, Gondar Town, Northwest Ethiopia

Sema¹,

Asres²,

Wubeshet³

2021

IPRP

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Development of Quality Indicators for Pharmaceutical Care Performance Assessment in Nigerian Community Pharmacies: A Delphi Panel

Nneoma

Obinna

2021

Int J Pharm Pharm Sci

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Objective: This study aimed to develop quality indicators for assessing pharmaceutical care performance in the Nigerian community pharmacies. Methods: We searched for existing quality indicators through an extensive literature review. The identified quality indicators consisted of thirty-four items in 10 core components. The Delphi method was used to arrive at a consensus on quality indicators for assessing pharmaceutical care performance in the Nigerian community pharmacies by surveying a panel of experts. There were 3 rounds of the Delphi panel conducted by consulting a panel of 10 experts in pharmaceutical care practice. A mean score>3.5, median>3.5, an absolute value between the median and mode<1.00 was used to establish consensus on the quality indicators for assessing pharmaceutical care performance in the Nigerian community pharmacies. Results: Ten studies met the inclusion criteria. A list of 33 quality indicators comprising of 10 core components emerged from the extensive literature review. They included quality management, documentation of care, communication with the patient, management of clinical risk in pharmacy, compounding, dispensing and patient care, follow-up of pharmacotherapy counselling, drug inventory and stocking, training of pharmaceutical staff. At the end of the round three votings, 24 statements of the quality indicator reached consensus in nine core components: quality management (5), continuity of care (1), communication with patients (3), clinical risk management (5), dispensing (1), follow-up of pharmacotherapy (3), counselling (1), logistics (3), training of pharmacy staff (2). Conclusion: This study developed a set of 24 quality indicators for assessing pharmaceutical care performance in community pharmacies in Nigeria.

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Assessment of Patient-Care, Facility Care, and Complementary Drug Use Indicators Among Elderly Patients in a Tertiary Care Hospital of Western Nepal

Cited by 2 publications

References 5 publications

Evaluation of Rational Use of Medicine Using WHO/INRUD Core Drug Use Indicators at Teda and Azezo Health Centers, Gondar Town, Northwest Ethiopia

Evaluation of Rational Use of Medicine Using WHO/INRUD Core Drug Use Indicators at Teda and Azezo Health Centers, Gondar Town, Northwest Ethiopia

Development of Quality Indicators for Pharmaceutical Care Performance Assessment in Nigerian Community Pharmacies: A Delphi Panel

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