Completeness and Legibility of Handwritten Prescriptions in Sana’a, Yemen

Al-Worafi, Yaser Mohammed; Patel, Rahul P.; Zaidi, Syed Tabish Razi; Alseragi, Wafa Mohammed; Almutairi, Masaad Saeed; Alkhoshaiban, Ali Saleh; Ming, Long Chiau

doi:10.1159/000487307

Cited by 391 publications

(9 citation statements)

References 7 publications

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“…There are 37 articles that discuss the incidence of MEs and their factors in Asia, where the articles consist of 9 articles from Southeast Asia [10][11][12][13][14][15][16][17][18] ; 3 articles from East Asia [19][20][21] ; 7 articles from South Asia [22][23][24][25][26][27][28] and 18 articles from West Asia [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] . A total of 2 articles discuss the incidence of MEs and their factors in Australia [47][48] .…”

Section: Literature Search Resultsmentioning

confidence: 99%

Medication errors analysis in Asia and Australia: A systematic review

Annisa¹,

Yasin²,

Kristina³

2023

Pharm Sci Asia

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Despite Medication errors (MEs) become worldwide problem, the majority of the studies especially in Asia only carried out in Middle East and very little known about MEs in Asia and Australia. This study aimed systematically to identify and review research done on MEs and their causative factors in Asian and Australian countries. The literature search was conducted from 24 April 2022 using PubMed, ScienceDirect, Google Scholar, ProQuest, and Scopus as the literature search area databases. The collection of research results in a systematic review using the BOOLEAN operator to specify the search scope. The total articles generated were 7,799 articles and resulted in 40 articles in full text and met the requirements so that an analysis. Based on studies that have been reviewed, prescribing errors and dispensing errors are the most type than others and high workload is the most common factors.

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Section: Literature Search Resultsmentioning

confidence: 99%

Medication errors analysis in Asia and Australia: A systematic review

Annisa¹,

Yasin²,

Kristina³

2023

Pharm Sci Asia

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“…In a similar study conducted at a hospital pharmacy in Asir, Saudi Arabia, the name of patients was missing in 5.4%, prescribers name in 16.7%, and signature in 18.1% of the issued prescriptions (Irshaid et al, 2005). Compared with other international studies, a study in Yemen reported that 99.12% of prescriptions filled at community pharmacies were of poor handwriting (Al-Worafi et al, 2018). However, another study conducted in Riyadh using electronic prescription reported a zero (0.0%) of missing information patients' prescriptions (Albarrak et al, 2014).…”

Section: Fig 3: Categories Of Prescription Errors (Type D)mentioning

confidence: 86%

“…Several preventive measures to reduce prescription errors have been recommended in the past. These included improving communication between pharmacists and physicians, implementation of e-prescriptions, and writing prescriptions in plain English language and names of drugs in generic names (Al-Worafi et al, 2018;Wang et al, 2007). Hospital pharmacists have been shown to play an integral part in reducing prescription errors by reviewing prescriptions prior to dispensing, (Wang et al, 2007) and these have been shown to reduce adverse drug events associated with prescription errors (Lourenco et al, 2016).…”

Section: Fig 3: Categories Of Prescription Errors (Type D)mentioning

confidence: 99%

Completeness of medication prescriptions: Prescription errors study in Hail region, Saudi Arabia (PeSHR)

Altebainawi¹,

Aljofan²,

Alrashidi³

et al. 2019

Ann.electr. electron. eng.

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Prescription error is a common and preventable cause of adverse drug events and emerging as a public healthcare concern. It has been responsible for many morbidity, mortality, healthcare cost and litigations. Information regarding the pattern and the burden related to prescription error is limited in Saudi Arabia, particularly, in the Hail region. The study aims to identify the types and frequency of prescription errors in two major hospitals in the Hail Region, Saudi Arabia. A retrospective chart review of prescriptions issued over a two-month period (October-November 2014) was conducted using a validated form. Hand-written prescriptions from the out-patient clinic and Emergency Room were selected using simple random sampling and reviewed to identify any prescription error by two clinical pharmacists. A prescription error was defined and classified based on Neville's classification. Final data were analyzed using descriptive statistics. Data from 1000 prescriptions was extracted and reviewed. At least one prescription error was identified in all the prescriptions (100%). Type A errors identified were missing information related to dose (42%), diagnosis (47%), file number (78%), patient's body weight (100%) and age (63%). Of the 1000 prescriptions reviewed, 78% did not have a file number, 63% without the patient's name. Type D error was identified to be poor handwriting (28%), missing prescription date (34%), patient's sex (22%) and name (0.8%), prescribing date (34%), physician signature (27%) and stamp (16%). The frequency of prescription error at tertiary healthcare hospitals in the Hail Region, Saudi Arabia is high and preventable. Interventions to ensure adherence to good prescription practice, effective communication between healthcare professionals and computerized physician order entry are therefore needed to prevent the burden associated with the prescription error.

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“…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. 11 Likewise, a study conducted in Asmara, Eritrea, found the overall completeness of prescriptions to be 78.63%. 12 A study conducted at Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia indicated that about 25% of prescribing encounters had patient information such as age and sex and less than 10% of the prescription contained dosage forms as a part of the medication regimen.…”

Section: Introductionmentioning

confidence: 98%

“…This also highlights the need for introducing computerized prescription order entries into general practice. 11 Interventions such as effective communication among health-care providers, implementation of electronic prescription systems, physician education on prescription and pharmacists' involvement in the prescription process should be implemented to improve medication use. 10,32…”

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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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Completeness and Legibility of Handwritten Prescriptions in Sana’a, Yemen

Cited by 391 publications

References 7 publications

Medication errors analysis in Asia and Australia: A systematic review

Medication errors analysis in Asia and Australia: A systematic review

Completeness of medication prescriptions: Prescription errors study in Hail region, Saudi Arabia (PeSHR)

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

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