www.ijbcp.com International Journal of Basic & Clinical Pharmacology | December 2019 | Vol 8 | Issue 12 Page 2685
IJBCP International Journal of Basic & Clinical Pharmacology
Print ISSN: 2319-2003 | Online ISSN: 2279-0780
Original Research Article
Influence of interventions on prescription writing practices
in a tertiary care teaching hospital
Priti P. Dhande
1
*, S. D. Kawade
2
INTRODUCTION
Prescription writing is a skill which invites accuracy in
the process to ensure the appropriateness of the message
to be passed to the pharmacist, nurse or patient for whom
it is meant. Pharmacists and patients are the addressee of
the prescription when it is given in out-patient department
while drug prescriptions on medication charts are
instructions for the nurses to respond accordingly. The
completeness and legibility of the prescription is very
crucial for its correct interpretation and administration (or
consumption) of medication without any errors.
Medication errors are very common in day-to-day clinical
practice and are avoidable with proper targeted
interventions which can improve healthcare. To achieve
this, we have to focus on the cause and frequency of
medication errors in clinical settings and what allows
them to slip in different scenarios of patient management.
Similar initiative was undertaken in the western world
(U.K, U.S.A) with success.
1
ABSTRACT
Background: Prescription practices should be good so that they are correctly
interpreted and medications are used or administered accordingly. Studies are
found usually focusing on WHO prescribing indicators in various healthcare
set-ups. This prescription audit study was conducted to analyse the prescription
practices in a tertiary care hospital and see the influence of various interventions
on these practices.
Methods: It was a quality initiative undertaken to retrospectively assess and
evaluate the change in the prescription writing practices in the in-patient
department of a tertiary care teaching hospital from March 2017 to April 2018.
Number of interventions were conducted to meet the compliance of prescription
parameters during the study period and prescription parameters was analysed
again thereafter for one-year to see the change.
Results: An overall increase in compliance of prescription parameters was
found from 67.3% in March 2017 to 94.8% in June 2017. Thereafter this was
consistently maintained upto 91% during the study period. Most of the
prescription parameters were seen to be improved like allergy history taking
from 52.2-95.6%; mention of prescriber’s name, sign, registration number from
53.5-86%; consideration to food-drug interaction from 28.7-99.5%.
Conclusions: Prescription writing practices were quite poor initially which
improved after various interventions were carried out in the study area.
Keywords: Prescription, Audit, Interventions, Improvement
DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20195278
1
Department of Pharmacology,
Bharati Vidyapeeth Deemed to
be University Medical College,
Pune, Dhankawadi,
Maharashtra, India
2
Department of Quality Bharati
Hospital and Research Centre,
India, Dhankawadi, Pune,
Maharashtra, India
Received: 30 September 2019
Revised: 12 November 2019
Accepted: 14 November 2019
*Correspondence to:
Dr. Priti Dhande,
Email: pritidhande76@
gmail.com
Copyright: © the author(s),
publisher and licensee Medip
Academy. This is an open-
access article distributed under
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Commons Attribution Non-
Commercial License, which
permits unrestricted non-
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and reproduction in any
medium, provided the original
work is properly cited.