Main Article Content
Abstract
Introduction
Prescription audit help us to monitor, evaluate and suggest necessary modifications in the prescribing practices to improve the quality of prescriptions. Our objective was to do the prescription audit of patients in clinic and its impact in improving the quality of further prescriptions.
Methods
Study was carried out during the period of March-April 2018. Total 50 prescriptions were collected, scrutinized and statistically analysed using WHO core prescribing indicators. Areas of improvement identified, conscious effort were put to improve the quality of prescription after the gap of two weeks. 50 more prescriptions were collected analysed and statistically compared with the first set.
Results
Total 100 patients were evaluated for prescription audit, by analysing first set of 50 prescriptions using 18 parameters prescribed in WHO core prescribing factors, it found that five parameters such as Generic name of drugs (08/50), Dosage of drug (42/50), Total number of drugs needed (00/50), Address of the patient (00/50), Legibility of prescriptions (50/100) were poor. Conscious effort were made to improve the quality of prescriptions in round 2, results were good, the above five parameters score seems to be improved, Generic name of drugs (50/50), Dosage of drug (44/50), Total number of drugs needed (50/50), Address of the patient (50/50), Legibility of prescriptions ( 88/100). It resulted in improved quality of patient care.
Conclusions
Audit is a process.we can use to improve patient care. Critically reflect and appraise (understand the worth of) the prescribing behaviour and practices, helps in identify the changes needed to improve the prescription for patient centred management.
Keywords
Article Details
References
- [1]. Patel N, Desai M, Shah S, Patel P, Gandhi A. A study of medication errors in a tertiary care hospital. Perspectives in Clinical Research. 7(4), 2016, 168-173.
- [2]. Curtis P. Medical audit in general practice. J R Coll Gen Pract. 24(146), 1974, 607-11.
- [3]. Patterson HR. The problems of audit and research. J R Coll Gen Pract. 36(286), 1986, 196.
- [4]. Srishyla M, Mahesh K, Nagarani M, Mary C, Andrade C,Venkataraman B. Prescription audit in an Indian hospital setting using the DDD (Defined Daily Dose) concept. Indian Journal of Pharmacology. 26(1), 1994, 23-8.
- [5]. Joshi SK.Quality Control Study. In: Joshi SK, Quality Management in Hospitals.2nd. Jaypee Brothers; 50, 2008, 7.
- [6]. Sharma R,Mehta M. The text book of NABH Guideline. 3, 2008, 100-125.
- [7]. Hepler CD,Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 47(3), 1990, 533-43.
- [8]. Abidi A, Gupta S, Kansal S, Ramgopal. Prescription auditing and drug utilization pattern in a tertiary care teaching hospital of western UP. Int J Basic Clin Pharmacol. 1(3), 2012, 184- 190.
- [9]. Sirisha S, Shibi Mary Thomas, Anand Varghese, Rama Reddy, Benny Baby, Shreya P Gudur. A Descriptive Study Oon Prescription Audit in India-A Review. Indo American Journalof Pharmaceutical Sciences, 3(4), 2015, 641-647.
References
[1]. Patel N, Desai M, Shah S, Patel P, Gandhi A. A study of medication errors in a tertiary care hospital. Perspectives in Clinical Research. 7(4), 2016, 168-173.
[2]. Curtis P. Medical audit in general practice. J R Coll Gen Pract. 24(146), 1974, 607-11.
[3]. Patterson HR. The problems of audit and research. J R Coll Gen Pract. 36(286), 1986, 196.
[4]. Srishyla M, Mahesh K, Nagarani M, Mary C, Andrade C,Venkataraman B. Prescription audit in an Indian hospital setting using the DDD (Defined Daily Dose) concept. Indian Journal of Pharmacology. 26(1), 1994, 23-8.
[5]. Joshi SK.Quality Control Study. In: Joshi SK, Quality Management in Hospitals.2nd. Jaypee Brothers; 50, 2008, 7.
[6]. Sharma R,Mehta M. The text book of NABH Guideline. 3, 2008, 100-125.
[7]. Hepler CD,Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 47(3), 1990, 533-43.
[8]. Abidi A, Gupta S, Kansal S, Ramgopal. Prescription auditing and drug utilization pattern in a tertiary care teaching hospital of western UP. Int J Basic Clin Pharmacol. 1(3), 2012, 184- 190.
[9]. Sirisha S, Shibi Mary Thomas, Anand Varghese, Rama Reddy, Benny Baby, Shreya P Gudur. A Descriptive Study Oon Prescription Audit in India-A Review. Indo American Journalof Pharmaceutical Sciences, 3(4), 2015, 641-647.