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Original Research



Audit and quality assessment of prescriptions in a tertiary care hospital of Junagadh

Divyesh B Sondarva, Dinesh A Chavda, Prakash P Malam, Hanmant S Amane.




Abstract

Background: Analysis of prescription of doctors is done to determine, evaluate, and improve the care of patients in a well-organized way and it estimates on-going practice against a defined standard.

Aim and Objective: The aim of the study was to provide the broad outline of performance and delineate parameter as per the check list of prescription audit.

Materials and Methods: An observational and non-interventional study was carried out from July 2021 to November 2021 at peripheral medical college, Gujarat. Randomly, we have selected 500 prescriptions. This prescriptions were evaluated as per World Health Organization prescribing indicators and then it were analyzed for errors in prescription writing.

Results: In this study, total 500 prescriptions were analyzed and total 1839 drugs were prescribed. Average number of drugs per prescription was 3.67. The percentage of drugs prescribed by generic name was 94.6%. The percentage of encounters with an antibiotic prescribed was 29%. In our prescription audit study, 39.16% (1762 count) prescriptions were non complete and 60.84% (2738 count) prescription were having complete details.

Conclusion: If the drug is prescribe by generic name and from essential drug list chances of dispensing error decrease and hand out of incorrect drug to patient is reduced. Minimizing drug per prescription attenuates chances of drug-drug interactions. Regular prescription audit should be conducted regularly which increase the awareness in prescriber and effective, safe, and economics therapeutic practice.

Key words: Prescription Audit; World Health Organization Prescribing Indicator; Essential Drugs; Generic Drugs; Outpatient Pharmacy






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