Physician Acceptance of Pharmacist Recommendations about Medication Prescribing Errors in Iraqi Hospitals

Al‐Jumaili, Ali Azeez; Jabri, Aminah M.; Al-Rekabi, Mohammed Dakhil; Abbood, Sarah Kadhim; Hussein, Ahmed H.

doi:10.24926/iip.v7i3.443

Cited by 15 publications

(13 citation statements)

References 29 publications

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“…Regarding physician attitudes toward generic medicines, about two-thirds of the participants were not comfortable with pharmacist replacing prescribed brand with generic medicines ( Table 4 ). Similarly, a previous Iraqi study showed hospital physicians only accept one-third of pharmacist recommendations ( 20 ). The physicians main concern about pharmacist replacing prescribed medicines is to dispense low quality generic medicines which may negatively impact patient clinical outcome.…”

Section: Discussionmentioning

confidence: 72%

Knowledge, Perception and Attitude Regarding Generic Medicines among Iraqi Physicians

2020

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Objectives: The study aim was to explore the knowledge, perceptions, and attitudes of Iraqi physicians regarding generic and locally manufactured medicines. Methods: A total of 124 physicians were involved in this cross -sectional study. The convenience sample was collected from five public hospitals in Baghdad. A self-administered questionnaire was distributed and collected in-person. Fisher's Exact Test was used to measure the association between physician years of experience, gender and categorical (perception and knowledge) variables. Results: Most respondent answers regarding the knowledge of generic medicines were incorrect. Only up to one-third of the participants knew that generic medicines are therapeutically equivalent to brand name medicines (26.6%), as safe as brand name medicines (34.7%) and required to meet similar safety standards as brand name medicines (12.1%). With respect to perception, many physicians had negative perceptions about generic medicines such as viewing generic medicines as lower quality (57.3%) and cause more side effects (41.1%) compared to brand name medicines. Regarding physician attitudes toward generic medicines, about two-thirds (64.5%) of the physicians were willing to prescribe low cost medicines; however, only about half (51.6%) of the physicians reported they offer generic medicines to their patients. Finally, 64.5% of the participants were not comfortable with pharmacist replacing prescribed brand with generic medicines. Conclusions: In general, Iraqi physicians have negative perceptions and attitudes about generic and locally manufactured medicines. Significant gaps were identified in the knowledge and perceptions among physicians regarding generic medicines especially in relation to efficacy and safety of generic medicines. Article Type: Original Research

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Section: Discussionmentioning

confidence: 72%

Knowledge, Perception and Attitude Regarding Generic Medicines among Iraqi Physicians

2020

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“…e current rate is similar with the National Cancer Centre of Singapore (93%) [39], slightly lower than that of the Cote d'Ivoire (94.8%) [31] and France (96%) [37], and higher than that of Norway (75%) [20], India (86.6%) [40], and South Korea (88.3%) [41]. However, a very low acceptance rate (37.4%) was also reported in a study conducted in Iraqi hospitals [42]. e difference could be attributed to differences in hospital settings and training levels of clinical pharmacists to give evidence-based recommendations and existing composition of the health care team in these hospitals.…”

Section: Discussionmentioning

confidence: 89%

Identification and Resolution of Drug-Related Problems among Childhood Cancer Patients in Ethiopia

Yismaw

Adam

Engidawork

2020

Journal of Oncology

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Background. Even though medications play a major role in the cure, palliation, and inhibition of disease, they also expose patients to drug-related problems. Drug-related problems are frequent and may result in reduced quality of life, morbidity, and mortality.Objectives.e study was aimed to identify, characterize, and resolve drug-related problems in the Pediatric Hematology/ Oncology ward of Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. A prospective observational study was conducted from 25 June to 25 October 2018 to assess DRPs on patients admitted at the pediatric hematology/oncology ward of Tikur Anbessa Specialized Hospital, which is the highest level governmental tertiary care hospital in Ethiopia. Data were obtained from patients' medical charts, physicians, patients/caregivers, pharmacists, and nurses. All the collected data were entered and analyzed using the Statistical Package for the Social Sciences version 25e. Descriptive statistics were used to represent the data. Results. Among the total 156 participants, DRPs were identified in 68.6% of the study subjects. Dosing problems which include dosage too low and high were the top ranking (39.3%) of all DRPs followed by needs additional therapy (27.2%) and nonadherence (14.0%). Systemic anti-infectives were the most common class of drugs involved in DRPs. Trimethoprim-sulfamethoxazole, methotrexate, vincristine, ondansetron, and metoclopramide were frequently involved in DRPs. e addition of drugs and change in drug dose were the two most proposed intervention types. Among the proposed interventions, 223 (92.15%) were fully accepted, 9 (3.72%) partially accepted, and 10 (4.13%) not accepted. Conclusion. DRPs are common among Pediatric Hematology/ Oncology ward patients. e hospital should develop a pediatric dosing chart for the commonly prescribed medications to prevent drug-related morbidity and mortality. e integration of clinical pharmacists can mitigate risks associated with DRPs.

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“…A recent study shows the consumption of antibiotics in Iran, a developing country, has increased 3.3% annually from 2000 to 2009 . In 2015, an Iraqi study in Al‐Najaf province found that antibiotics were the most frequent therapeutic category associated with prescribing errors in public hospitals because physicians prescribe antibiotics without considering interactions with chronic medications …”

Section: Introductionmentioning

confidence: 99%

Antimicrobial utilization in an Iraqi province: a comprehensive evaluation of antibiotic source and cost

et al. 2017

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The antibiotic consumption ratio in this province was comparable to neighbouring countries, but far higher compared to European countries. Penicillins, cephalosporins and quinolones were the most popular antibiotics. Around half of the antibiotics consumed were made by national pharmaceutical companies that mainly produce oral antibiotics. The public sector consumed a higher portion, but spent a lower amount compared to private sectors. This is the first time report of antibiotic consumption in Iraq. More studies evaluating antibiotic consumption can improve utilization.

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Physician Acceptance of Pharmacist Recommendations about Medication Prescribing Errors in Iraqi Hospitals

Abstract: The objectives of this study were to measure the incidence and types of medication prescribing errors (MPEs)

Cited by 15 publications

References 29 publications

Knowledge, Perception and Attitude Regarding Generic Medicines among Iraqi Physicians

Knowledge, Perception and Attitude Regarding Generic Medicines among Iraqi Physicians

Identification and Resolution of Drug-Related Problems among Childhood Cancer Patients in Ethiopia

Antimicrobial utilization in an Iraqi province: a comprehensive evaluation of antibiotic source and cost

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