Prescription errors in a primary care university unit: urgency of pharmaceutical care in Mexico

Zavaleta-Bustos, Miriam; Castro‐Pastrana, Lucila I.; Reyes-Hernández, Ivette; López-Luna, María Argelia; Hernández, Ivette Reyes

doi:10.1590/s1516-93322008000100013

Cited by 21 publications

(14 citation statements)

References 13 publications

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“…Alguns estudos demonstram que no Brasil as prescrições geralmente não se apresentam de acordo com os critérios estabelecidos, Guzatto Porém, essa situação não é exclusiva do Brasil, Khoja et al 12 verificaram que 18% das prescrições aviadas na atenção primária em Riyadh na Arábia Saudita continham erros. Zavaleta-Bustos et al 13 verificaram em um Centro de Saúde de uma Universidade no México a alta incidência de prescrições inapropriadas sendo que 58% apresentavam erros relacionados às doses recomendadas e à seleção do medicamento relacionado com a necessidade do paciente. Em Chicago nos Estados Unidos da América Bob et al…”

Section: Introductionunclassified

Análise Das Prescrições Dispensadas Em Uma Unidade Básica De Saúde Do Município De Ijuí – Rs

et al. 2015

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Analysis of prescriptions dispensed in a basic health unit in the city of Ijuí/RS ABSTRACTThe aim of this study was to evaluate medical prescriptions regarding the prescribing indicators recommended by the World Health Organization and the Brazilian current legislation. This cross sectional study analyzed the prescriptions dispensed in a Basic Health Unit in the city of Ijuí/ RS through a questionnaire for data collection. It was evaluated 4.108 prescriptions, with a mean of 2.43 drugs by prescription. The patient's name was written in 94.9% of prescriptions. Regarding information related to the prescriber, the signature was present in 99.3% and the stamp and registration at the Regional Council of Medicine in 88.9%. The information relating to drug showed the lack of: a) route of administration (12.1%), b) pharmaceutical form (10.2%), c) dose (16.8%), d) dosage (16.7%) and e) length of treatment (16,1%). The results show that the health services are well organized and most prescriptions comply with the criteria established by WHO and Brazilian legislation.

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Section: Introductionunclassified

Análise Das Prescrições Dispensadas Em Uma Unidade Básica De Saúde Do Município De Ijuí – Rs

et al. 2015

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“…In a study conducted by Zavaleta-Bustos et al at Primary Care University of Mexico, prescription error was observed in more than 50% of cases despite the fact that rational prescribing is the first and critical component of rational drug use. 2,23 Better prescribing practice was reported from Asmara, Eritrea, where information on prescribed drugs such as dose, frequency, and duration were present in 83.7, 87.7, and 95.1%, respectively. 12 Since one of the limiting factors in the effectiveness of antibacterial agents is the concentration of the drug attained in the site of action, 24 which in turn depends on the dose administered, neglecting this information might lead to the failure of achieving positive treatment outcomes.…”

Section: Dovepressmentioning

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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“…Medication errors and ADEs are common in the ambulatory setting and are estimated to cost the US health care system $ 177 billion annually [5]. Nonetheless, little is known about the type or frequency of medication errors in primary care, where the majority of patients are in contact with health care providers [1,4,6].…”

Section: Introductionmentioning

confidence: 99%

Medication prescribing errors pertaining to cardiovascular/antidiabetic medications: a prescription audit in primary care

Khaja

Sequeira

Damanhori

2011

Fundamemntal Clinical Pharma

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This study was carried out to identify the medication prescribing errors (MPEs) pertaining to cardiovascular/antidiabetic medications in prescriptions issued to hypertensive and diabetic hypertensive patients. A retrospective, nationwide audit of prescriptions (n = 2773) issued by primary care physicians (n = 194) of 20 health centres in Bahrain was carried out. Approximately one-quarter of prescriptions ordered by two-thirds of primary care physicians had errors. No significant differences with respect to overall errors were evident in prescriptions ordered by the family physicians and general practitioners. The most common error (in 8.0% of prescriptions) was prescribing β-blockers or diuretics (thiazide) or their combinations to patients on lipid-lowering drugs. Prescribing multiple antihypertensives, often with a similar mechanism, accounted for 2.2% errors: approximately half of these (1.45%) were two angiotensin-converting enzyme inhibitors (ACEIs) co-prescribed and/or ACEIs plus angiotensin-II receptor blockers. In 0.7% of prescriptions, β-blockers were ordered to patients on salbutamol treatment. High-dose metformin (3 g/day) was prescribed to approximately 4% diabetic hypertensives; of these, many were elderly patients. Prescribing high-dose glibenclamide (median dose 15 mg) to the elderly accounted for 3.6% of the overall errors. Polypharmacy, such as aspirin along with an immediate-release dipyridamole, was prescribed occasionally (0.25%), particularly by the general practitioners (P = 0.0139). MPEs are common in primary care, in Bahrain. Some of these prescribing errors have the potential to harm patients. Effective measures to detect and prevent such errors are needed to improve the quality of health care. Standard treatment guidelines and educational interventions are important strategies to achieve these goals.

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Prescription errors in a primary care university unit: urgency of pharmaceutical care in Mexico

Cited by 21 publications

References 13 publications

Análise Das Prescrições Dispensadas Em Uma Unidade Básica De Saúde Do Município De Ijuí – Rs

Análise Das Prescrições Dispensadas Em Uma Unidade Básica De Saúde Do Município De Ijuí – Rs

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

Medication prescribing errors pertaining to cardiovascular/antidiabetic medications: a prescription audit in primary care

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