Prospective Study of Irrational Prescribing in an Indian Tertiary Care Hospital: Omission of Prescription and Inappropriate Prescription in a Multidisciplinary Unit
By: BOKAM, Y. K
.
Contributor(s): GUNTUPALLI, C.
Publisher: Mumbai Indian Journal of Pharmaceutical Science 2021Edition: Vol.83(3), May-June.Description: 610.613p.Subject(s): PHARMACEUTICSOnline resources: Click here
In:
Indian journal of pharmaceutical sciencesSummary: Taking right medicine at the right time is vital to ensure safety and speedy recovery of the patient.
The aim of this study was to conduct a comprehensive review systematic analysis and outcomes of the
medication discrepancies which occur as a result of inappropriate prescribing in a hospital setting. A cross
sectional study was performed between July 2018 to April 2019 at Star hospitals, South India. A total of
300 prescriptions were collected from different inpatient departments by two practising clinical
pharmacists. We used the standard World Health Organization methodology to achieve the study
objectives. A feasible sampling technique was used to collect the prescriptions from various departments.
Various clinical drug databases like Medscape, Micromedex, and Pub Med were referred. A total of
300 prescriptions were collected and reviewed which comprised 62 % Documentation discrepancies,
19.6 % of omission errors, 10.3 % of prescriptions exceeding the maximum dose, 0.8 % were of prescriptions
contained therapeutic duplications. Drugs prescribed out of the formulary also contributed to medication
related errors. Mid-level health care practioners were also involved on this study. The study evidenced the
potential of inappropriate prescription occurring in the hospital setting ranging from patient admission to
discharge. Several factors such as multiple co-morbidities, ploy pharmacy, hassle at the work environment
and poor communication among allied health care professionals were found to be the major causes of
potential inappropriate prescribing. Execution of efficient strategies will help in controlling the harmful
outcomes as a result of irrational prescribing.
| Item type | Current location | Call number | Status | Date due | Barcode | Item holds |
|---|---|---|---|---|---|---|
Articles Abstract Database
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School of Pharmacy Archieval Section | Not for loan | 2021-2022575 |
Taking right medicine at the right time is vital to ensure safety and speedy recovery of the patient.
The aim of this study was to conduct a comprehensive review systematic analysis and outcomes of the
medication discrepancies which occur as a result of inappropriate prescribing in a hospital setting. A cross
sectional study was performed between July 2018 to April 2019 at Star hospitals, South India. A total of
300 prescriptions were collected from different inpatient departments by two practising clinical
pharmacists. We used the standard World Health Organization methodology to achieve the study
objectives. A feasible sampling technique was used to collect the prescriptions from various departments.
Various clinical drug databases like Medscape, Micromedex, and Pub Med were referred. A total of
300 prescriptions were collected and reviewed which comprised 62 % Documentation discrepancies,
19.6 % of omission errors, 10.3 % of prescriptions exceeding the maximum dose, 0.8 % were of prescriptions
contained therapeutic duplications. Drugs prescribed out of the formulary also contributed to medication
related errors. Mid-level health care practioners were also involved on this study. The study evidenced the
potential of inappropriate prescription occurring in the hospital setting ranging from patient admission to
discharge. Several factors such as multiple co-morbidities, ploy pharmacy, hassle at the work environment
and poor communication among allied health care professionals were found to be the major causes of
potential inappropriate prescribing. Execution of efficient strategies will help in controlling the harmful
outcomes as a result of irrational prescribing.
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