DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20151417

Audit of prescription notes from a tertiary health centre, AIMS, BG Nagar, India: a cross-sectional study

Shwetha Shivamurthy, Ghorpade Voomojirao Anand Prakash, Vinay Hosagavi Ramalingaiah

Abstract


Background: Prescription is a written order from physician to pharmacist which contains name of the drug, its dose and its method of dispensing and advice over consuming it. The frequencies of drug prescription errors are high. Prescription error contributes significantly towards adverse drug events. The present study was undertaken to understand the current prescription writing practices and to detect the common errors in them at a tertiary health care centre situated in BG Nagar, Mandya, Karnataka, India.

Methods: A cross sectional study was conducted in Adichunchanagiri Institute of medical Sciences, BG nagar, Mandya, India during April- May 2015. 187 prescriptions were analyzed. Important information regarding the patient, doctor, drug and the general description of the prescription were obtained.

Results: All the prescriptions were on the hospital pad. A significant number of the prescriptions were written in illegible (11%) or barely legible (20%) handwriting. The name, age and sex of the patient were not mentioned in majority of the prescriptions. All the prescriptions (100%) failed to demonstrate the presence of address, height and weight of the patient. Brand name of the drugs was mentioned in all the prescriptions with only 8% of them having the generic name. The quantity, dose and medicinal form were found missing in 1.7%, 29.5%, and 2.2% of the prescriptions.

Conclusions: The findings of our study show that there is a need for improvement in the quality of prescriptions written by the doctors. The adoption of a computer aided prescribing system would go a long way in achieving this objective.

 


Keywords


Prescription, Adverse drug event, Prescription error, Computer aided prescription

Full Text:

PDF

References


Tripathi KD. Text book of pharmacology. Jaypee Brothers; New Delhi: 2003.p.pg3.

TP De Vries. Guide to good prescribing: a practical manual Genev. World Health Organization. 1995;5:5.

Irshaid YM, Homrany MA, Hamdi AA. Adjepon-Yamoah K.K, Mahfouz A.A. Compliance with good practice in prescription writing at outpatient clinics in Saudi Arabia. Eastern Mediterranean Health Journal. 2005;11(5-6):922–8.

Laura C, Angela P, Luca A, Carla L, Rosanna QT, Maria TG, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9.

Hester DO. Do you see what I see? Illegible handwriting can cause patient injuries. J Ky Med Assoc. 2001:99–187.

Boehringer PA, Rylander J, Dizon DT, Peterson MW. Improving the Quality of the Orderwriting Process for Inpatient Orders in a Teaching Hospital. Q Manage Health Care.2007;16(3):215–8.

Meyer TA. Improving the quality of the order-writing process for inpatient orders and outpatient prescriptions. American Journal of Health-System Pharmacy. 2000;57(4):18–22.

Rodríguez-Vera F Javier, Marín Y, Saánchez A, Borrachero C, Pujol E. Illegible handwriting in medical records. J R Soc Med.2002;95:545-6.

Obehi A A, Ambrose IO. Prescription writing in public and private hospitals in Benin city, Nigeria: the effects of an educational intervention. Can J Clin Pharmacol. 2008;15(2):295–305.

Andersen SO, Beurling C. Recepter, receptfejl og patientsikkerhed. Prescriptions, prescription-writing errors and patient safety. Ugeskrift for laeger. 1997;159:1454–8.

Anuja PA, Subhash TB, Prakash BR. Prescription Analysis of Pediatric Outpatient Practice in Nagpur City. Indian J Community Med. 2010;35(1):70–3.

Hardeep S, Shrinidi M, Donna E, Nancy P, Veronica F, Laura PA. Prescription Errors and Outcomes Related to Inconsistent Information Transmitted through Computerized Order-Entry: A Prospective Study. Arch Intern Med. 2009 25;169(10):982–9.