جستجوی مقالات مرتبط با کلیدواژه "prescription audit" در نشریات گروه "پزشکی"
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IntroductionThe World Health Organization has laid down guidelines for rational prescriptions. Adherence to those guidelines is an important aspect of medication safety. In India, such adherence is mandatory towards National Accreditation Board for Hospitals and Health-care Providers (NABH) accreditation of health-care facilities. The audition of the prescriptions is therefore a quality improvement process that indirectly benefits the health-care stakeholders. Such an audit is part of the NABH Management of Medication and is monitored by the Pharmacy and Therapeutics (P&T) committee in most hospitals.Materials and MethodsThis prospective study was conducted between December 2018 and November 2019. An audit was carried out using 4800 case sheets from different in-patient departments of Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, India. The data were recorded in a predefined audit form.ResultsOut of 4800 prescriptions, 71% (n=3408) of the audited orders had drugs written down in the capital; moreover, 97% (n=4656) and 47% (n=2256) of the prescriptions were legible and were written in generics, respectively. Furthermore, 97% (n=4656) of the orders had a physician’s signature, and 70% (3360) of them had a clinical review. It should be noted that only 1% (n=48) of the orders had drug-drug and drug-food documented interactions.ConclusionAccording to the results of this study, physicians did not document suggestions regarding drug-drug and drug-food interactions. Moreover, there were fewer numbers of prescriptions written in generics. In addition, the majority of the medication orders were legible and adhered to standards in the 12th month. This may be due to sharing the monthly audit reports with various departments and the continuous feedback process involving the P&T committee.Keywords: Medication order, NABH, Management of medication, Prescription audit
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INTRODUCTION
The inappropriate use of drugs is a global health problem, especially in developing country like India. Irrational prescriptions have an ill effect on health as well as health‑care expenditure. Prescription auditing is an important tool to improve the quality of prescriptions, which in turn improves the quality of health care provided. The present study was conducted to investigate the rational use of drugs for completeness, legibility, and against the World Health Organization (WHO)‑recommended core drug use indicators.
MATERIALS AND METHODSA cross‑sectional, outpatient department‑based study was carried out in a rural hospital of Delhi wherein 120 prescriptions were randomly sampled, irrespective of patient characteristics and diagnosis over a period of 1 month. All the prescriptions were analyzed for general details, medical components, and WHO core drug use indicators. The data obtained were summed up and presented as descriptive statistics using the Microsoft Excel and were analyzed using SPSS version 16.
RESULTSAll the prescriptions had general details mentioned in it. The diagnosis was mentioned in 64.2% of prescriptions, and 85.8% of drugs were prescribed by generic name. An average of 3.02 drugs per encounter was prescribed. The average consultation time and dispensing time were 2.8 min and 1.2 min, respectively. Only half of the patients had correct knowledge of dose.
CONCLUSIONSOur study highlights the need to train our prescribing doctors on writing rational prescriptions for quality improvement.
Keywords: Core indicators, prescription audit, quality, rational prescription, World Health Organization
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