DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20181161

Prescription audit of outpatients in tertiary care government hospital

Nuthan Kumar U. S., Nalini G. K., Deepak P., Prema M., Geeta Rathod, Mohith N.

Abstract


Background: Prescription audit is a tool as well as a technique by its application,all professionals will improve the quality of prescribing drugs. Standards of medical treatment can be assessed by prescription audit. It is based on documented evidences to support diagnosis, treatment and justified utilization of hospital facilities. Prescription audit is a quality improvement process that seeks to improve patient care. In this background the present study was conducted. The objectives of the study were to know the frequently prescribed drugs in OPD, number of the drugs used per prescription and to find out the rationality.

Methods: Study was conducted at Sri Chamarajendra Hospital, HIMS, Hassan in OPD of General Medicine.1000 prescriptions were collected and noted down the frequently used medication, number of drugs prescribed and their type of formulations for the particular diagnosis.

Results: From the study it is noted that 1910 drugs out of 1000 prescriptions were prescribed which is approximately 1.91 drugs per prescription about 55% of the prescriptions contained single drug. Very few received 4-5 drugs (7%). Almost all the drugs in prescriptions were in Generic names. Around 95% of prescriptions doses were mentioned in mg, ml etc. The most commonly prescribed drugs in order are Antibiotics, antidiabetics antihypertensives, bronchodilators, steroids antiemetics and ORS were prescribed.

Conclusions: Polypharmacy was not found in our prescriptions which indicates our prescriptions improved the patient conditions. This type of study will ensure to know the ā€˜Pā€™ drug development and select the essential medicine list for various levels of health care.


Keywords


P drug, Prescription auditing, Rationality

Full Text:

PDF

References


Bandyopadhyay D. A study of prescription auditing in a Tertiary Care Teaching Hospital of Eastern India. Journal of Drug Delivery and Therapeutics. 2014;4(1):140-9.

Abidi A, Gupta S, Kansal S. Prescription auditing and drug utilization pattern in a tertiary care teaching hospital of western UP. International Journal of Basic & Clinical Pharmacology. 2012:1(3):184.

Hogerzeil HV. Promoting rational prescribing: an international perspective. British journal of clinical pharmacology. 1995 Jan 1;39(1):1-6.

Biswas NR, Jindal S, Siddiquei MM, Maini R. Patterns of prescription and drug use in ophthalmology in a tertiary hospital in Delhi. British journal of clinical pharmacology. 2001 Mar 1;51(3):267-9.

Ghei P. How to investigate drug use in health facilities. Selected drug use indicators: WHO Publications, Geneva. 1993:87.

Potharaju HR, Kabra SG. Prescription audit of outpatient attendees of secondary level government hospitals in Maharashtra. Indian J of Pharmacology. 2011 Apr;43(2):150.

Dabhade S, Gaikwad P. Comparative evaluation of prescriptions of MBBS and BAMS doctors using WHO prescribing indicators. Medical Journal of Dr. DY Patil University. 2013 Oct 1;6(4):411.

Darji NH, Vaniya H. Prescription audit in the inpatients of a tertiary care hospital attached with medical college. Journal of Clinical & Experimental Research. May-August. 2015;3(2):197.

Kaur B, Walia R. Prescription audit for evaluation of prescribing pattern of the doctors for rational drug therapy in a tertiary care hospital. Journal of Drug Delivery and Therapeutics. 2013 Sep 14;3(5):77-80.

Srividya BP, Shashikumar NS, Amardeep G. Retrospective audit of prescription of drugs among inpatients of orthopedic wards at Medical College Teaching Hospital, Mandya. National Journal of Physiology, Pharmacy and Pharmacology. 2016;6(4):282-5.

Srishyla, Srishyla MV. Prescription audit in an Indian hospital setting using the DDD (Defined Daily Dose) concept. Ind J of Phar. 1994 Jan 1;26(1):23.

Kastury N, Singh S, Ansari KU. An audit of prescription for rational use of fixed dose drug combinations. Indian Journal of Pharmacology. 1999 Sep 1;31(5):367.

Kiekkas P, Karga M. Medication errors in critically ill adults: a review of direct observation evidence. American Journal of critical care. 2011 Jan 1;20(1):36-44.

Ahsan M, Shaifali. Prescription auditing based on World Health Organization (WHO) prescribing indicators in a teaching hospital in North India. International Journal of Medical Research and Review. 2016 Oct 30;4(10).

Hussain S, Parveen Z. A study of prescription auditing in rural health care setting of north India. Int J Med Sci Public Health. 2016;5:2461-65.

Sikidar P, Chakravarty P. IJBCP International Journal of Basic & Clinical Pharmacology. 2016 May;5(3):975.

Pandey V, Hoda U. Evaluation of prescribing patterns in diabetic and hypertensive patients in a South Delhi Hospital. International Journal of Basic & Clinical Pharmacology. 2014;3(3).

Vengurlekar S, Shukla P. Prescribing pattern of antidiabetic drugs in Indore city hospital. Indian journal of pharmaceutical sciences. 2008 Sep;70(5):637.

Bashir MS, Khade A. Prescription pattern in the department of medicine in a tribal district hospital of India. Al Ameen Journal of Medical Sciences. 2013 Apr 1;6(2):158-62.