Prescription audit at a tertiary care teaching hospital

Rai, Smitha; Krishnaswamy, Bhuvana; Sowmya, C.; Hv, Sahana; Yaseen, Mohammed

doi:10.5455/njppp.2018.8.0411311052018

Cited by 6 publications

(9 citation statements)

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“…Prescriptions are an important intervention for the physician and it is an ethical and legal duty on behalf of the practitioner to write complete prescriptions with generic drug names in legible hand writing. 5 Prescription auditing is used as one of the important tools to assess misuse of drugs as well to improve the rational usage of drugs. 5 Keeping this in mind, the present study was undertaken by quality assessing committee members of SGT Hospital, Gurugram, Haryana, India.…”

Section: Discussionmentioning

confidence: 99%

“…5 Prescription auditing is used as one of the important tools to assess misuse of drugs as well to improve the rational usage of drugs. 5 Keeping this in mind, the present study was undertaken by quality assessing committee members of SGT Hospital, Gurugram, Haryana, India. The locale comprises rural communities and more than 80% of the population has very limited literacy or knowledge regarding drugs.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] Prescription writing assessment is considered an important parameter to ensure rational drug use. 5 Rational use of drugs is essential to achieve good quality health care for patients as well as for the community. 5 It ensures that patients are advised medications which are appropriate for their clinical needs and in doses that suits each patient's individual requirements and that they are prescribed for adequate period with minimum cost to patients and the community.…”

Section: Introductionmentioning

confidence: 99%

“…5 Rational use of drugs is essential to achieve good quality health care for patients as well as for the community. 5 It ensures that patients are advised medications which are appropriate for their clinical needs and in doses that suits each patient's individual requirements and that they are prescribed for adequate period with minimum cost to patients and the community. 6 Irrational prescription may lead to ineffective treatment, which may subject the patient to prolongation or exacerbation of illness, unnecessary mental distress, untoward side effects and higher expenses.…”

Section: Introductionmentioning

confidence: 99%

“…8 Based on such indicators, various studies have been done in countries across the globe, including India. 1,2,4,5,8 With the use of such prescribing indicators, auditing prescription forms is an important part of drug utilization studies. These include, but are not limited to average time for consultation, average time for dispensing of medicines/ drugs, actual percentage of dispensed drugs, percentage of drugs labelled correctly, knowledge of patients regarding correct drug dosage and also facility indicators which include availability of key drugs and an essential drug formulary.…”

Section: Introductionmentioning

confidence: 99%

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Study on Prescription Audit from a Rural Tertiary Care Hospital in North India

Sharma¹,

Payal²,

Devi³

et al. 2021

J. Pure Appl. Microbiol.

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Evidence concerning prescription audits conducted in developing countries like India is scarce, especially from the rural parts of the country. Therefore, the present prescription audit was undertaken in a rural tertiary care hospital to investigate prescriptions for their completeness, in format of prescription, legibility of writing and it was assessed against the World Health Organization (WHO) recommendation of core indicators for prescription writing in order to investigate the rational usage of drugs. A total of 200 prescriptions were randomly selected, irrespective of clinical departments, patient characteristics and diagnosis over a period of six months. All the prescriptions were prospectively analyzed and conferred to an assessment of the quality of prescribing practice, general details, medical components, WHO core drug use indicators and legibility. Amongst the 200 prescriptions precisely monitored, we found that 100% prescriptions had general details of the patients such as name, age, gender, OPD/IPD registration number, hospital name & address and consulting unit/department. While evaluating the handwriting of the doctors, 83.5% (177/200) of the prescriptions had legible handwriting, wherein the degree of legibility showed 68.5% (137/200) prescriptions with easy legibility, 20% (40/200) difficult legibility while 11.5% (23/200) were illegible. Along with the different types of drugs obtained from the selected prescriptions, we found that antibiotics were prescribed in 51.5% (103/200) of the prescriptions. A prescription audit is a good tool to systemically review the day to day work, maintenance of records and assessment of accuracy of the diagnosis given by doctors and also the outcome of the treatment received.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Study on Prescription Audit from a Rural Tertiary Care Hospital in North India

Sharma¹,

Payal²,

Devi³

et al. 2021

J. Pure Appl. Microbiol.

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Evaluation of Medication Errors by Prescription Audit at a Tertiary Care Teaching Hospital

Navadia,

Patel,

Patel

et al. 2023

Journal of Pharmacology and Pharmacotherapeutics

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Objective: The prescription errors and prescribing fault analysis was assessed, the rationality of the prescriptions was checked, and the medication error was categorized according to the NCC MERP Index. Methods: A cross-sectional, observational study was designed as per STROBE guidelines and conducted for 2 months in the pharmacy stores after approval of the Institutional Review Board. Patients’ written informed consent was taken before getting their prescriptions, and each of the prescriptions procured in this way was photographed for record. The completeness of 320 prescriptions of outpatients of all age groups regarding the details about the doctor and the patient and clinical diagnosis/indication was analyzed. The rationality of prescription was based on WHO core drug use indicators. Descriptive analysis was done by using Microsoft Excel. Results: A total of 320 prescriptions were analyzed from eight departments. Information about patients and prescribers was mentioned in 100% of prescriptions. The diagnosis (40%), an indication was written in 195 prescriptions. Instructions for dispensing drugs (89%), instructions to patients (90%), duration of treatment (100%), follow-up visits (19%), and non-pharmacological instructions (13%) were mentioned. In total, 82% of prescriptions were legible. In a total of 1004 drugs, 92% of drugs were prescribed with a generic name, 100% from the essential drug list. The route and frequency of drug administration were mentioned for all drugs. According to NCCMERP, the category of medication errors falls under category B. Conclusion: To reduce medication errors, we can implement an electronic system, involve clinical pharmacologists, utilize prescription charts, and organize nationwide workshops on rational prescription writing. We should encourage regular prescription audits and reporting to improve the healthcare system in the country.

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Refining patient care: Evaluating prescription practices of medical residents and interns in a teaching hospital through an audit

Afrah,

Abdulla,

Saleem

et al. 2024

SAGE Open Medicine

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Objective: Hospitals in India use the National Accreditation Board for Hospitals and Healthcare Providers guidelines as criteria to ensure safe prescribing practices. This audit was conducted to provide insight into in-patient prescription of drugs to (1) evaluate the quality of prescriptions (2) reduce prescription and medication errors (3) improve the quality of care in terms of prescriptions that the hospital provides to the patient. Methods: The cross-sectional study was conducted in an in-patient department of a tertiary care teaching hospital in Chennai where 153 paper-based prescriptions were continuously collected from the internal medicine department over 1 month. The prescriptions were evaluated on 13 parameters that is, patient details (including name, age, sex and Hospital unique ID), height and weight, allergies, capital letters, legibility, date and time of prescription, medicine prescribed by generic name, brand name or both, dosage, route of administration, frequency, relation with food, stop order and signature of the doctor. The data obtained was summarised and analysed using Google Sheets. Results: A total of 153 prescriptions from the in-patient department of a tertiary care teaching hospital were audited. Out of the 153 prescriptions and 13 parameters assessed, patient details (including name, age, sex and Hospital unique ID), legibility, route of administration and frequency were found in all of the prescriptions. On further analysis, we found that only 12.26% of the prescriptions were compliant with the components of the stop order. The majority of the prescriptions (69.28%) contained both generic and trade names. Conclusion: Prescriptions are the most common areas of errors. This study shows the form of errors that can arise while prescribing medications. Doctors must be adequately trained to write prescriptions and follow the standards set by the National Accreditation Board for Hospitals and Healthcare Providers. Audits need to be conducted regularly to ensure and improve the quality of prescriptions.

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Prescription audit at a tertiary care teaching hospital

Cited by 6 publications

References 0 publications

Study on Prescription Audit from a Rural Tertiary Care Hospital in North India

Study on Prescription Audit from a Rural Tertiary Care Hospital in North India

Evaluation of Medication Errors by Prescription Audit at a Tertiary Care Teaching Hospital

Refining patient care: Evaluating prescription practices of medical residents and interns in a teaching hospital through an audit

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