Nonformulary drug requests at an academic hospital in Germany - the role of general practitioners' long-term medication

Himmel, Wolfgang; Lönker, B.; Kochen, Michael M.

doi:10.1007/s002280050418

Cited by 10 publications

(4 citation statements)

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“…Without adequate information transfer between healthcare professionals at hospital discharge, patients are at risk of exposure to MEs in the case of repeat prescriptions [4, 12]. Conversely, the impact of general practitioners prescribing on hospital prescribing has also been demonstrated [3, 26]. Our findings show that the risk of errors also exists in this opposite direction of crossing the interface between primary and secondary healthcare, on hospital admission.…”

Section: Discussionmentioning

confidence: 80%

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Hospital prescribing errors: epidemiological assessment of predictors

Fijn

Bemt

Chow

et al. 2002

Brit J Clinical Pharma

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Aims To demonstrate an epidemiological method to assess predictors of prescribing errors. Methods A retrospective case-control study, comparing prescriptions with and without errors. Results Only prescriber and drug characteristics were associated with errors. Prescriber characteristics were medical specialty (e.g. orthopaedics: OR: 3.4, 95% CI 2.1, 5.4) and prescriber status (e.g. verbal orders transcribed by nursing staff: OR: 2.5, 95% CI 1.8, 3.6). Drug characteristics were dosage form (e.g. inhalation devices: OR: 4.1, 95% CI 2.6, 6.6), therapeutic area (e.g. gastrointestinal tract: OR: 1.7, 95% CI 1.2, 2.4) and continuation of preadmission treatment (Yes: OR: 1.7, 95% CI 1.3, 2.3). Conclusions Other hospitals could use our epidemiological framework to identify their own error predictors. Our ®ndings suggest a focus on speci®c prescribers, dosage forms and therapeutic areas. We also found that prescriptions originating from general practitioners involved errors and therefore, these should be checked when patients are hospitalized.

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Section: Discussionmentioning

confidence: 80%

“…Many prescribed drugs are part of treatment that has originally been initiated by general practitioners. Prescriptions for these drugs are often continued without knowledge about the relevance or potential hazards of polypharmacy [3, 4]. The number of drugs marketed is substantial and superspecialization of clinicians is increasing.…”

Section: Introductionmentioning

confidence: 99%

Hospital prescribing errors: epidemiological assessment of predictors

Fijn

Bemt

Chow

et al. 2002

Brit J Clinical Pharma

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“…Such practices also lead to the emergence of drug interactions, drug resistance and adverse drug reactions, which increase mortality, morbidity, and financial burden on the patient [3]. Drugs in the prescriptions are also often written without knowledge about the relevance or potential hazards of polypharmacy [4].…”

Section: Introductionmentioning

confidence: 99%

A Prescription Audit and Assessment of Drug Utilization Pattern in a Tertiary Care Teaching and Referral Hospital in Uttar Pradesh, India

Arora

Abidi

Rizvi

2019

Asian J Pharm Clin Res

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Objective: The objective of our study is to assess the prescription and drug utilization pattern in a tertiary care teaching and referral hospital in Uttar Pradesh, to investigate the rational use of drugs. Methods: The study was carried out in the general medicine outpatient department (OPD) setting for a period of 3 months in our tertiary care teaching and referral hospital. The prescriptions were randomly sampled and the photocopies of all the prescriptions were obtained from the OPD during the period of the study and were processed and analyzed for the demographic profile, drug profile, fixed-dose combinations, therapeutic classes of antibiotic prescribed, morbidity profile according to the disease pattern, and prescription pattern including the errors in prescription and the assessment of polypharmacy. Results: A total of 350 prescriptions were randomly sampled, out of which 312 prescriptions were fit to be analyzed. The total number of drugs in 312 prescriptions was 1022. Basic information of patient was written in 79.25% prescriptions, 84.25% prescriptions were legible, and only 71.21% prescriptions were complete. The majority of prescriptions had at least five drugs ordered which constituted around 43.14% of total number of prescriptions leading to polypharmacy. Conclusions: Our study highlights that there is a scope for improvement in prescribing patterns in areas of writing legible and complete prescriptions. To lay down the principles of rational pharmacotherapeutics, proper training of the prescribers on rational prescription writing is the need of an hour for improving the quality of prescriptions.

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“…durch Rabatte) anders strukturiert ist als im ambulanten Sektor. Diese Schnittstellenproblematik, die mit der Struktur der teilweise unterschiedlichen Versorgungssysteme in Europa variiert, ist auch in Deutschland bereits Gegenstand von Untersuchungen gewesen [1][2][3], wobei aber dem Thema der Weiterführung einer stationären Medikation bisher weniger Aufmerksamkeit zuteil wurde. Einzelne Studien weisen aber bereits darauf hin, dass bei der ambulanten Fortführung der Medikation z.B.…”

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