E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research 


Audit of outpatient prescription at a tertiary care hospital in South India: An observational study

Anuranjani Dhamodharan, Nishanthi Anandabaskar, Nitya Selvaraj, Meenakshi R, Shanthi M.

Abstract
Background: Prescriptions are medico-legal documents and it is the duty of every physician to write a complete, legible, and valid prescription to ensure rational drug use and prevent the occurrence of medication errors. Periodic prescription audit is required for identification of common deficiencies in the prescriptions, to undertake corrective measures for improving the prescribing practices.

Aim and Objective: The objective of the study was to assess the completeness of the outpatient hand-written prescriptions presented to the pharmacy of a multi-specialty tertiary care teaching hospital in South India.

Materials and Methods: This was a prospective, descriptive cross-sectional study in which data from the outpatient prescriptions presented to the pharmacy for drug dispensing were recorded. The prescriptions were analyzed for completeness by assessing the presence or absence of the following essential components: (a) Date; (b) patient information (hospital registration number, name, age, gender, and address); (c) prescriber information (Name, Registration number, Signature); and (d) medication details (use of generic names, appropriateness of drugs, prescribing from national list of essential medicines [NLEM] 2015, capitalized drug names, dose, dosing schedule, route of administration, and instructions).

Results: Of the total 600 prescriptions analyzed, all of them had date and complete patient details. Doctor’s name, registration number, and signature were mentioned in 70.8%, 38%, and 98.3% of prescriptions, respectively. About 30.3% and 26.8% of prescriptions had generic names and capitalized drug names, respectively. Only 2% of prescriptions were not legible. All the drugs prescribed were appropriate and from NLEM 2015. Dose and dosage schedule were clearly mentioned, each in 98% of prescriptions. Route of drug administration and instructions was present in 98.8% and 10% of prescriptions, respectively.

Conclusion: This study showed that all the essential elements except doctors’ registration number, generic prescribing, drug names in capitals, and instructions to patient were present in majority of the prescriptions.

Key words: Completeness of Prescriptions; Prescription Analysis; Prescription Errors; Rational Drug Prescription


 
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How to Cite this Article
Pubmed Style

Dhamodharan A, Anandabaskar N, Selvaraj N, R M, M S. Audit of outpatient prescription at a tertiary care hospital in South India: An observational study. Natl J Physiol Pharm Pharmacol. 2021; 11(5): 549-553. doi:10.5455/njppp.2021.11.03091202120032021


Web Style

Dhamodharan A, Anandabaskar N, Selvaraj N, R M, M S. Audit of outpatient prescription at a tertiary care hospital in South India: An observational study. http://www.njppp.com/?mno=64420 [Access: May 01, 2021]. doi:10.5455/njppp.2021.11.03091202120032021


AMA (American Medical Association) Style

Dhamodharan A, Anandabaskar N, Selvaraj N, R M, M S. Audit of outpatient prescription at a tertiary care hospital in South India: An observational study. Natl J Physiol Pharm Pharmacol. 2021; 11(5): 549-553. doi:10.5455/njppp.2021.11.03091202120032021



Vancouver/ICMJE Style

Dhamodharan A, Anandabaskar N, Selvaraj N, R M, M S. Audit of outpatient prescription at a tertiary care hospital in South India: An observational study. Natl J Physiol Pharm Pharmacol. (2021), [cited May 01, 2021]; 11(5): 549-553. doi:10.5455/njppp.2021.11.03091202120032021



Harvard Style

Dhamodharan, A., Anandabaskar, . N., Selvaraj, . N., R, . M. & M, . S. (2021) Audit of outpatient prescription at a tertiary care hospital in South India: An observational study. Natl J Physiol Pharm Pharmacol, 11 (5), 549-553. doi:10.5455/njppp.2021.11.03091202120032021



Turabian Style

Dhamodharan, Anuranjani, Nishanthi Anandabaskar, Nitya Selvaraj, Meenakshi R, and Shanthi M. 2021. Audit of outpatient prescription at a tertiary care hospital in South India: An observational study. National Journal of Physiology, Pharmacy and Pharmacology, 11 (5), 549-553. doi:10.5455/njppp.2021.11.03091202120032021



Chicago Style

Dhamodharan, Anuranjani, Nishanthi Anandabaskar, Nitya Selvaraj, Meenakshi R, and Shanthi M. "Audit of outpatient prescription at a tertiary care hospital in South India: An observational study." National Journal of Physiology, Pharmacy and Pharmacology 11 (2021), 549-553. doi:10.5455/njppp.2021.11.03091202120032021



MLA (The Modern Language Association) Style

Dhamodharan, Anuranjani, Nishanthi Anandabaskar, Nitya Selvaraj, Meenakshi R, and Shanthi M. "Audit of outpatient prescription at a tertiary care hospital in South India: An observational study." National Journal of Physiology, Pharmacy and Pharmacology 11.5 (2021), 549-553. Print. doi:10.5455/njppp.2021.11.03091202120032021



APA (American Psychological Association) Style

Dhamodharan, A., Anandabaskar, . N., Selvaraj, . N., R, . M. & M, . S. (2021) Audit of outpatient prescription at a tertiary care hospital in South India: An observational study. National Journal of Physiology, Pharmacy and Pharmacology, 11 (5), 549-553. doi:10.5455/njppp.2021.11.03091202120032021