scholarly journals Prescribing patterns in a psychiatric follow-up clinic

1991 ◽  
Vol 15 (8) ◽  
pp. 484-485 ◽  
Author(s):  
A. K. Shah
Keyword(s):  
General Practice ◽  
Pilot Study ◽  
Psychiatric Patients ◽  
Inappropriate Prescribing ◽  
Prescribing Patterns ◽  
Prescribing Pattern ◽  
Patients Experience

There have been several surveys of prescribing for psychiatric patients (Muijen & Silverstone, 1987; Johnson & Wright, 1990) indicating inappropriate prescribing and a tendency towards polypharmacy. Most studies have looked at prescriptions for psychiatric patients in all settings (out-patients, day-patients and in-patients) in conglomeration rather than just out-patients. Out-patients experience a comparatively lesser degree of supervision (hence a greater risk of non-compliance) and have other opportunities to acquire prescriptions (e.g. through general practice). With this in view a pilot study to observe prescribing pattern in a follow-up clinic was performed.

scholarly journals Antimicrobial prescribing pattern in a tertiary care teaching hospital: a pilot study

2020 ◽  
Vol 9 (3) ◽  
pp. 465
Author(s):  
Bhagyashri D. Rajopadhye ◽  
Sonali H. Palkar ◽  
Vijaya A. Pandit ◽  
Priti P. Dhande ◽  
Mahadevan Kumar ◽  
...  
Keyword(s):  
Pilot Study ◽  
Antimicrobial Agents ◽  
Tertiary Care ◽  
Prescribing Patterns ◽  
Care Hospital ◽  
Prescribing Pattern ◽  
Current State ◽  
Stewardship Program ◽  
Tract Infections ◽  
Emergence Of Resistance

Background: The emergence of antimicrobial resistance is a worldwide challenge threatening to negate the gains made by discovery of antimicrobial agents (AMAs).  Antimicrobial Stewardship Program (ASP) is an important strategy for ensuring appropriate use of AMAs and controlling emergence of antibiotic resistance. Implementation of ASP must start with assessment of the current state of antimicrobial use. This study was therefore conducted to assess the prevalent prescribing patterns in a tertiary care hospital and identify gaps which warrant corrective intervention.Methods: This prospective pilot study presents analysis of the first 30 Patients from the medicine ward prescribed at least one antimicrobial agent during the two months of study period. Relevant data was collected in AMA record form. Appropriateness of AMAs was analyzed regarding selection as well as administration protocol as per the hospital antibiotic policy.Results: Out of the 60 AMAs prescribed to these patients, most commonly prescribed were cephalosporins (63.3%), anti-amoebics (26.6%) and macrolides (23.3%). Common diseases involved were urinary tract infection, acute gastroenteritis, sepsis and lower respiratory tract infections.  Use of AMAs was found to be appropriate for the indication in 42 %, dose in 97%, duration 60 %, route 93% and frequency 90 %.Conclusions: This gap between the appropriate and the actual practice use of AMAs indicates an urgent need of rigorous implementation of ASP in order to avoid emergence of resistance and to conserve the sensitivity to the available AMAs.

scholarly journals General medical care of long-stay psychiatric patients: a pilot study

1992 ◽  
Vol 16 (6) ◽  
pp. 332-334
Author(s):  
Danny Allen ◽  
Sally Pugh-Williams
Keyword(s):  
Health Care ◽  
General Practice ◽  
General Practitioner ◽  
Pilot Study ◽  
Medical Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
General Medical Care ◽  
Psychiatric Units ◽  
Physical Morbidity

Studies have shown that significant physical morbidity exist within psychiatric units (Honig et al, 1989), yet general medical care is often left in the hands of psychiatrists who may not always be the most appropriate people to deliver it (Colenda et al, 1988). The new general practice contract places certain obligations on the general practitioner (GP) with regard to his or her patients, especially the elderly, yet these provisions do not extend to many of our patients. Our study looks at four areas of health care and examines how they are delivered to long-stay patients in a district pyschiatric unit with no GP input.

A pilot study of the “Continuation of Care” model in “revolving-door” patients

2012 ◽  
Vol 27 (4) ◽  
pp. 229-233 ◽  
Author(s):  
A. Juven-Wetzler ◽  
D. Bar-Ziv ◽  
S. Cwikel-Hamzany ◽  
A. Abudy ◽  
N. Peri ◽  
...  
Keyword(s):  
Pilot Study ◽  
Psychiatric Patients ◽  
Revolving Door ◽  
Index Hospitalization ◽  
Outpatient Services ◽  
Care Model ◽  
Traditional System ◽  
The Past ◽  
Before And After

AbstractPurpose:The efficiency of continuation of care (COC) treatment by inpatient caregivers as compared to treatment administered by outpatient services for “revolving door” psychiatric patients was tested in this study. Number and days of hospitalization were examined.Method:All patients who were hospitalized three times or more during the past 12months were offered continuing follow-up in the ward, by the same staff, instead of being referred to the outpatient department. Information on number and length of hospitalizations before and after initiation of this care model was retrieved from the hospital computerized database.Results:Of the 36 patients meeting the criteria, 35 patients agreed to participate. The number of hospitalizations in the 18months following the index hospitalization was 1.79±3.51 as compared to 4.67±1.79 before the index hospitalization (p = 0.0002), and the number of days of hospitalization 18months after was 24±41.65 as compared to 119.71±69.31 before (p<0.0001).Conclusion:COC via inpatient follow-up significantly reduces the number and length of hospitalizations in “revolving door” psychiatric patients as compared to the traditional system of follow-up in an outpatient clinic.

scholarly journals General practice attendances among patients attending a post-COVID-19 clinic: A pilot study

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0016
Author(s):  
John Michael Broughan ◽  
Geoff McCombe ◽  
Gordana Avramovic ◽  
Des Crowley ◽  
Cheyenne Downey ◽  
...  
Keyword(s):  
Older Adults ◽  
General Practice ◽  
Pilot Study ◽  
Hospital Discharge ◽  
Hospital Admissions ◽  
Clinic Visit ◽  
University Hospital ◽  
Care Needs ◽  
Medical Histories

BackgroundAbout 10-35% of people with COVID-19 merit medical care within three weeks of infection. However, the prevalence of ongoing care needs among those experiencing severe COVID-19 illness is unclear.AimThis pilot study aimed to address this knowledge gap by examining GP attendance trends among patients attending a post-COVID-19 hospital follow-up clinic, 3-6 months after an initial clinic visit.Design, and SettingData was collected from adult patients attending a post-COVID-19 follow-up clinic at the Mater Misericordiae University Hospital, Dublin, Ireland.MethodParticipants completed questionnaires outlining their demographics, medical histories, emergency hospital admissions/re-admissions where applicable, and where relevant, GP attendances following hospital discharge. Analyses were conducted using descriptive/inferential statistics.ResultsParticipants’ (n=153) median age =43.5 (IQR =30.9–52.1 years). There were 105 females (68.6%, 95% CI=61.3%–75.9%). Various medical histories were reported among participants. 67 (43.2%, 95% CI=35.9%–51.6%) received emergency COVID-19 hospital care. Older adults, males, ICU admissions, and re-admissions were common among hospital attendees. Of the hospital attendees, 16 (24%, 95% CI=13.7%–34.2%) and 26 (39%, 95% CI=27.3%–50.7%) attended GPs within seven and 30 days of hospital discharge. Older adults, people with pre-existing medical conditions, and individuals admitted to ICU/readmitted to hospital were common among general practice attendees.ConclusionPersistent health issues appear to be common among severe COVID-19 patients, particularly those who are older adults, have pre-existing health problems, and had been in ICU and/or re-admission care. Larger scale studies of ongoing COVID-19 care needs in general practice/primary care are required.

scholarly journals The Prescribing Trends of Metronidazole in The Outpatient Setting

2020 ◽  
pp. 24-29 ◽  
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Public Hospital ◽  
Bacterial Resistance ◽  
Inappropriate Prescribing ◽  
Outpatient Setting ◽  
Prescribing Patterns ◽  
Antibiotic Prescribing ◽  
Descriptive Data ◽  
Prescribing Pattern ◽  
Stewardship Program ◽  
Prescribing Trends

Aim: The aim of this study is to characterize the trends of metronidazole prescribing in outpatient setting in Alkharj. Methodology: This is a retrospective study includes evaluating outpatient antibiotic prescriptions from 01-01-2018 till 31-12-2018 in a public hospital Alkharj. The data were collected and analyzed using excel software and the descriptive data were represented by frequencies and percentages.                              Results: The majority of the metronidazole prescriptions were regular and only few prescriptions were urgent. The physicians who prescribed metronidazole were mainly residents who don’t have sufficient experience that may results in more inappropriate antibiotic prescribing patterns. Conclusion: The excessive use of metronidazole in addition to its prescribing by resident may results in inappropriate prescribing pattern that may lead to increase the adverse effect which may lead to increase the rate of bacterial resistance. More efforts are needed, especially by applying antimicrobial stewardship program, to ensure that metronidazole is prescribed correctly.

scholarly journals Outcome prioritisation tool for medication review in older patients with multimorbidity: a pilot study in general practice

2017 ◽  
Vol 67 (660) ◽  
pp. e501-e506 ◽  
Author(s):  
Jojanneke JGT van Summeren ◽  
Jan Schuling ◽  
Flora M Haaijer-Ruskamp ◽  
Petra Denig
Keyword(s):  
General Practice ◽  
Pilot Study ◽  
Health Outcomes ◽  
Medication Review ◽  
Older Patients ◽  
Medication Change ◽  
Medication Reviews ◽  
The Impact ◽  
Medication Changes

BackgroundSeveral methods have been developed to conduct and support medication reviews in older persons with multimorbidity. Assessing the patient’s priorities for achieving specific health outcomes can guide the medication review process. Little is known about the impact of conducting such assessments.AimThis pilot study aimed to determine proposed and observed medication changes when using an outcome prioritisation tool (OPT) during a medication review in general practice.Design and settingParticipants were older patients with multimorbidity (aged ≥69 years) with polypharmacy (five or more chronic medications) from the practices of 14 GPs.MethodPatients were asked to prioritise four universal health outcomes — remaining alive, maintaining independence, reducing pain, and reducing other symptoms — using an OPT. GPs used this prioritisation to review the medication and to propose and discuss medication changes with the patient. The outcomes included the proposed medication change as documented by the GP, and the observed medication change in the electronic health record at follow-up. Descriptive analyses were conducted to determine medication changes according to the prioritised health outcomes.ResultsA total of 59 patients using 486 medications prioritised the four health outcomes. GPs proposed 34 changes of medication, mainly stopping, for 20 patients. At follow-up, 14 medication changes were observed for 10 patients. The stopping of medication (mostly preventive) was particularly observed in patients who prioritised ‘reducing other symptoms’ as most important.ConclusionUsing an OPT leads mainly to the stopping of medication. Medication changes appeared to be easiest for patients who prioritised ‘reducing other symptoms’ as most important.

scholarly journals Antibiotic prescribing patterns of general practice registrars for infective conjunctivitis: a cross-sectional analysis

2021 ◽  
Vol 13 (1) ◽  
pp. 5
Author(s):  
Marcus D. Cherry ◽  
Amanda Tapley ◽  
Debbie Quain ◽  
Elizabeth G. Holliday ◽  
Jean Ball ◽  
...  
Keyword(s):  
General Practice ◽  
Clinical Training ◽  
Antibiotic Prescription ◽  
Prescribing Patterns ◽  
Antibiotic Prescribing ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis ◽  
Registrar Training

ABSTRACT INTRODUCTIONOver-prescription of antibiotics for common infective conditions is an important health issue. Infective conjunctivitis represents one of the most common eye-related complaints in general practice. Despite its self-limiting nature, there is evidence of frequent general practitioner (GP) antibiotic prescribing for this condition, which is inconsistent with evidence-based guidelines. AIMTo investigate the prevalence and associations of GP registrars’ (trainees’) prescription of antibiotics for infective conjunctivitis. METHODSWe performed a cross-sectional analysis of the Registrar Encounters in Clinical Training (ReCEnT) ongoing prospective cohort study, which documents GP registrars’ clinical consultations (involving collection of information from 60 consecutive consultations, at three points during registrar training). The outcome of the analyses was antibiotic prescription for a new diagnosis of conjunctivitis. Patient, registrar, practice and consultation variables were included in uni- and multivariable logistic regression analyses to test associations of these prescriptions. RESULTSIn total, 2333 registrars participated in 18 data collection rounds from 2010 to 2018. There were 1580 new cases of infective conjunctivitis (0.31% of all problems). Antibiotics (mainly topical) were prescribed in 1170 (74%) of these cases. Variables associated with antibiotic prescription included patients’ Aboriginal or Torres Strait Islander status, registrar organisation of a follow up (both registrar and other GP follow up), and earlier registrar training term (more junior status). DISCUSSIONGP registrars, like established GPs, prescribe antibiotics for conjunctivitis in excess of guideline recommendations, but prescribing rates are lower in later training. These prescribing patterns have educational, social and economic consequences. Further educational strategies may enhance attenuation of registrars’ prescribing during training.

scholarly journals Drug utilization study and prescribing patterns in psychiatry patients at a tertiary care hospital

2018 ◽  
Vol 7 (4) ◽  
pp. 774
Author(s):  
Venkatesh Perumal M. ◽  
Surendra Kumar Bouddh ◽  
Nirmal S. R. ◽  
Ashok Deshpande ◽  
Jai Singh ◽  
...  
Keyword(s):  
Drug Utilization ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Prescribing Patterns ◽  
Care Hospital ◽  
Clinical Experiences ◽  
Open Label ◽  
Prescribing Pattern ◽  
Cross Sectional ◽  
Drug Utilization Research

Background: The Drug utilization research (DUR) compares drug use between different countries and regions and is used to assess the rationality of prescribing pattern of the drug therapy. With this background we decided to evaluate antipsychotic drugs prescribing pattern in the psychiatric patients in a tertiary care hospital.Methods: the study was carried out at Department of Psychiatry, DSMCH. It was open label, cross - sectional, prescribed Documents based study. Duration of the study was one month (May-2017). Out-Patient number, age, sex, diagnosis, prescribed generic name, brand name, dose, route of administration, duration of therapy obtained from the Prescription register of Out - Patient Department of the Psychiatry.Results: The clinical experiences of the Psychiatrist I, II and III were 17 years, 35 years and 10 years respectively. The Psychiatrist I, II and III prescribed treatment for 36 (31.9%), 61 (54%) and 16 (14.2%) patients respectively. Among overall (n=113) patients (average age 38.9 years), male n=56 (49.6%) and female=57 (50.4%) were treated by all the three psychiatrists. The percentage of prescription of various drugs used were: Escitalopram (15.7%), Clonazepam (14.6%), Sertraline (8.7%), Risperidone (7.5%), Propranolol (6.7%), Olanzapine (6.3%), Quetiapine (5.9%), Trihexyphenidyl (5.5%), Amitriptyline (5.1%) and Other prescribed drugs, were between (0.4 to 2.8%).Conclusions: From this study, it can conclude that rational usage of drugs were followed in this study. All three prescribers (Psychiatrist I, II, and III) prescriptions were found to be rationale.

scholarly journals Prescribing Patterns of Drugs in Geriatric Patient

2021 ◽  
Vol 11 (2) ◽  
pp. 168-170
Author(s):  
Nimmy N John ◽  
Arjun VJ ◽  
Annie James ◽  
Ramesh NN ◽  
Ashok Mahendrakar
Keyword(s):  
Prospective Observational Study ◽  
Inappropriate Prescribing ◽  
Prescribing Patterns ◽  
Research Centre ◽  
Beers Criteria ◽  
Age Group ◽  
Prescribing Pattern ◽  
College Hospital ◽  
Medical College ◽  
Potentially Inappropriate Prescription

A prospective observational study on prescribing pattern of drugs in the geriatric patients was conducted in Navodaya Medical College Hospital and Research Centre. The present study aimed to study prescribing patterns of various drugs in elderly patients and to evaluate inappropriate prescribing with the help of beers criteria. A total of 100 patients of geriatric age group(>/65 years) was included in the study for the period of 3 months of which, most of the patients were in the age group of 65-70 years (79.24%), out of which 52 were male and 48 were females. Maximum subjects were prescribed with antibiotics and proton pump inhibitors followed by analgesics. A minimum of 5 drugs were prescribed in 46 cases, followed by 5-8 drugs in 36 cases, then more than 8 drugs were prescribed in around 18 cases. Based on beers criteria 23 patients received potentially inappropriate prescription of at least 1 drug and all these belongs to category A. The study concluded that there is need for careful application of the criteria by health care professional, consumers, payers and health systems should lead to closer monitoring of drug use. Keywords: Prescribing pattern, geriatrics, beers criteria, antibiotics, analgesics.    

scholarly journals Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Mengyuan Fu ◽  
Haishaerjiang Wushouer ◽  
Lin Hu ◽  
Nan Li ◽  
Xiaodong Guan ◽  
...  
Keyword(s):  
Broad Spectrum ◽  
Primary Healthcare ◽  
Rural Areas ◽  
Compliance Rate ◽  
Inappropriate Prescribing ◽  
Acute Bronchitis ◽  
Prescribing Patterns ◽  
Prescribing Pattern ◽  
Targeted Interventions ◽  
Healthcare Settings

AbstractInappropriate prescribing for acute bronchitis in primary healthcare settings (PHSs) is commonly seen worldwide. Here we describe the prescribing patterns and antibiotic use for acute bronchitis in PHSs across China. We conduct a nationwide cross-sectional survey to collect outpatient prescriptions from PHSs in 2017. Patients diagnosed with acute bronchitis without other infections are eligible for this study. Generalized estimating equations are used for analysis. Overall, 10,678 prescriptions for acute bronchitis from 214 institutions are included. The antibiotic prescription rate is 44.5% for total prescriptions, and differs significantly by region and urban/rural status (p < 0.05). Among all single-antibiotic prescriptions, 91.5% are broad-spectrum. Two-thirds of the prescriptions contain medicines for symptom management. The overall guideline compliance rate of acute bronchitis treatment for adults is 31.0%. Prescribing antibiotics, especially broad-spectrum ones, for acute bronchitis is commonly observed in Chinese PHSs. Targeted interventions are urgently needed for Chinese primary clinicians, especially in western rural areas.

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