Vol 15, Issue 2, 2022 Online - 2455-3891 Print - 0974-2441 PRESCRIPTION AUDIT USING THE WORLD HEALTH ORGANIZATION PRESCRIBING INDICATORS FOR INDOOR PATIENTS TREATED UNDER CMAAY/PMJAY INSURANCE SCHEMES IN A TERTIARY CARE TEACHING HOSPITAL DEVENDER SACHDEV 1 *, KARTIK JANARDAN SALWE 2 , ANOOP DEV 3 , BINITA SINGHA 4 , HAGE AMBING 5 1 Department of Pharmacology, Tomo Riba institute of health and medical sciences, Naharlagun, Arunachal Pradesh, India. 2 Department of Pharmacology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Puducherry, India. 3 Department of Community Medicine, Tomo Riba Institute of Health and Medical Sciences, Naharlagun, Arunachal Pradesh, India. 4 Department of Pharmacology, Tomo Riba Institute of Health and Medical Sciences, Naharlagun, Arunachal Pradesh, 5 Deprtment of Medicine, Tomo Riba insititute of Health and Medical sciences, Naharlagun, Arunachal Pradesh,India India. Email: drdevendersachdev@gmail.com Received: 10 December 2021, Revised and Accepted: 12 January 2022 ABSTRACT Objective: This study focused on the prescriptions audit of indoor patients treated under Pradhan Mantri Jan Arogya Yojana (PMJAY) and Chief Minister Arogya Arunachal Yojana (CMAAY) insurance schemes as per the World Health Organization (WHO) prescribing indicators. Materials and Methods: Retrospective cross-sectional study was conducted and the prescriptions of around 960 patients were analyzed who were treated from June 2020 to December 2020 under CMAAY/PMJAY insurance schemes at Tomo Riba institute of Health and Medical Sciences in Arunachal Pradesh. Study was conducted in five departments and Information was collected through the review of case sheets. The post-operative day prescription was analyzed for the patients who have undergone surgery and the patients who were managed conservatively; admission day prescription was analyzed using the WHO core drug prescribing indicators. Following data were analyzed. (1) Average no of drugs prescribed per encounter; (2) percentage of encounter having antibiotic; (3) percentage of drugs prescribed by generic name; (4) percentage of encounters with an injection; and (5) percentage of drugs prescribed from the essential drug list. Results: A total of 960 indoor patients treated under five departments, out of which 359 (37.4%) treated under general surgery, 383 (39.9%) under Obstetrics and Gynecology department, 65 (6.8%) under ENT department, 68 (7.1%) under orthopedics department, and 85 (8.9%) under General medicine department. All departments taken together, the average number of drugs used per patient was 4.91. Antibiotics were prescribed in 92.18% of the total patients when all departments were included, single antibiotic was used in 72.18%, two antibiotics in 17.29%, and three in 2.7% of the total patients. Overall, the generic names were written in 67.3% of the total drugs and the most commonly used route was parenteral route, in about 98.19% of the total prescribed drugs. From the essential drugs list, 89.33% of the total drugs were prescribed. Fixed drug combination was used in 13.59% of the total drugs prescribed. Conclusion: In our study, the percentage of prescriptions with average no of drugs per prescription, antibiotic used, injections used were much higher when compared to the WHO core prescribing indicators. The reason might be because we have analyzed the prescription of indoor patients and most of them were post-operative patients, so it is justified. While prescribing, the physicians and surgeons followed WHO essential drug list but use of generic names was in few prescriptions. The generic name use to be more emphasized, encouraged, and promoted. Keywords: Antibiotics, Essential drug list, Fixed drug combination, Generic name, Insurance Scheme, Routes, World Health Organization prescribing indicators. INTRODUCTION Prescription audit helps to improve the quality of prescribing drugs in the institute. By prescription audit the quality of the prescribing drugs can be evaluated. It is a quality improvement process where a positive change can be made in the patients care. The standard of prescription reflects rational prescribing and the competence of the clinician [1,2]. The outcome and patient care can be improved by doing regular prescription audits and comparing it with set standards of prescription writing [3]. By doing regular prescription audits, the rational use of medicines can be motivated. As a result, the quality of prescription can be increased in a cost-effective way, decreasing the incidence of adverse drug reactions, and also increasing proper utilization of resources [4,5]. The World Health Organization (WHO) has given the Internationally accepted criteria for standard prescription writing as a guide for good prescription [6-8]. The way of writing of prescriptions can be compared with the WHO given internationally accepted criteria [4,9]. Various studies concerned with prescription audit have been done in the past [10-12]. Pradhan Mantri Jan Arogya Yojana (PMJAY) and Chief Minister Arogya Arunachal Yojana (CMAAY) are the initiatives of central and state Government, respectively, which are employed by the Chief Minister Arogya Arunachal Society for free cashless health-care services to the people of the State [13]. The present study was planned to analyze prescription audit using the WHO prescribing indicators for indoor patients treated under CMAAY/PMJAY insurance schemes at Tomo Riba institute of Health and Medical Sciences (TRIHMS) in Arunachal Pradesh, North East India with following objectives. 1. To investigate the rational use of drugs for completeness legibility and to characterize the drug use in the medical college as per the WHO recommended core drug use indicators and to analyze the prescription errors 2. To carry out a complete therapeutic audit and to know what was © 2022 The Authors. Published by Innovare Academic Sciences Pvt Ltd. This is an open access article under the CC BY license (http://creativecommons.org/ licenses/by/4.0/) DOI: http://dx.doi.org/10.22159/ajpcr.2022v15i2.43819. Journal homepage: https://innovareacademics.in/journals/index.php/ajpcr Research Article