scholarly journals Assessment of prescription pattern using WHO drug prescribing indicators in medicine wards of a tertiary care teaching hospital: a retrospective observational study

2017 ◽  
Vol 6 (8) ◽  
pp. 2070 ◽  
Author(s):  
Narendra P. Bachewar ◽  
Sachin R. Choudhari ◽  
Sujata Dudhgaonkar
Keyword(s):  
Observational Study ◽  
Teaching Hospital ◽  
Financial Burden ◽  
Tertiary Care ◽  
Retrospective Observational Study ◽  
Drug Prescribing ◽  
Prescribing Indicators ◽  
Prescription Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

Background: Rational prescribing is an essential skill for every prescriber. However many times it seems a difficult task for various reasons. Such practices ultimately increase the mortality, morbidity and financial burden on the patient. Hence, we aimed our study to evaluate appropriateness of prescription pattern according to WHO drug prescribing indicators, few complementary indicators and classify prescription errors.Methods: A retrospective observational study, conducted in medical record section of tertiary care teaching hospital of Maharashtra during the period of 6 months. Total 400 randomly selected prescriptions from Medicine inpatient wards were scrutinized.Results: Average number of drugs per prescription was 5.20 trending towards polypharmacy. Drugs prescribed by generic name were 13.88%, injectable drugs were part of 93.50% prescriptions, 78.25% prescriptions contained an antimicrobial agent and Percentage of drugs prescribed from NELM 2011 was 72.36%. Illegible handwriting in 68% cases was the important cause of prescription errors. These errors found in 73% of prescriptions.Conclusions: The present study showed that the practices were trending towards irrational prescribing. Polypharmacy and illegible prescriptions were dominated. Regular prescription audit will help to rectify such practices. Also, there is an urgent need of sensitization of prescriber through new treatment guidelines, seminar, presentations and discussions on regular basis.

ASSESSMENT OF DRUG PRESCRIBING PATTERN IN THE INPATIENT SURGERY DEPARTMENT AT A TERTIARY CARE TEACHING HOSPITAL USING WHO PRESCRIBING INDICATORS.

2020 ◽  
Vol 7 (10) ◽  
pp. 12-18
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Essential Medicine ◽  
Drug Prescribing ◽  
Prescribing Pattern ◽  
Prescribing Indicators ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Inpatient Ward ◽  
Surgery Department

Background: Drug use is a tricky task comprises of prescriber, dispenser and the patient. It is influenced by factors such as prescribing experience, drug cost, availability, dispenser knowledge and patient cultural belief. Objective: Current study aim is to assess the drug prescribing pattern in the inpatient ward of the surgery department at tertiary care teaching hospital using WHO prescribing indicators. Material and Methods: A prospective observational study was carried out after the approval from the institutional ethical committee for a period of six months from February 2019 to July 2019. Data were collected, evaluated and represented using descriptive statics and graph wherever applicable. Result: Total of 190 prescriptions were collected and analyzed using WHO prescribing indicators. An average number of the drug was 5.23%. The percentage of the drug from essential medicine list, generic name and Injectables prescribed was 46.93%, 17.68% and 53.16% respectively. Conclusion: Labelling status of prescribing was not according to standards of WHO prescribing indicators and needs special attention. Such study plays a crucial role in the institution level and helps in preparation of evidence-based modules for rational use of drugs.

scholarly journals A 6 months retrospective observational study to assess the rationality and effectiveness of snake bite management in a tertiary care teaching hospital of rural Bengal, India

2018 ◽  
Vol 7 (10) ◽  
pp. 2047
Author(s):  
Satrajit Dan ◽  
Ananya Mandal ◽  
Abhijit Das ◽  
Sourav Chakrabarty ◽  
Tanmoy Gangopadhyay
Keyword(s):  
Observational Study ◽  
Teaching Hospital ◽  
West Bengal ◽  
Tertiary Care ◽  
Snake Bite ◽  
Retrospective Observational Study ◽  
Standard Protocol ◽  
Venomous Snake ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

Background: Snake envenomation is a common life-threatening problem encountered all-over West Bengal particularly in the rural areas. There are a large number of patients attending the Emergency unit and being admitted to the Medicine ward, some in the intensive care unit (ICU) and intensive therapy unit (ITU) of the tertiary health care facilities. The objective of this study was to assess rationality and effectiveness of management of venomous snake bite following standard protocol – Standard treatment guidelines of Government of West Bengal and National snakebite management protocol of Government of India.Methods: This was a retrospective observational study of six months (May - October 2017) duration. Data were collected from the treatment records of patients admitted with history of snake bite in the Medicine ward, ICU and ITU of tertiary care teaching hospital of rural Bengal.Results: Of the 63 venomous bite patients, most (82.5 %) were diagnosed to have features of neurotoxic envenomation. All of them (100%) received anti-snake venom (ASV). There was no incidence of anaphylactic reaction as well as any serious adverse drug reaction following ASV administration. Two patients developed acute renal failure, needed haemodialysis. Overall percentage of mortality was 3.2%.Conclusions: The survival rate in venomous snake bite is found to be high in this institution. The practice of snake bite management is found to be adherent with standard protocol. A multicentric study of longer duration is suggested to draw a firm conclusion.

scholarly journals PRESCRIPTION PATTERN OF PROPHYLACTIC ANTIMICROBIAL AGENTS USED IN PREOPERATIVE PATIENTS AT A TERTIARY CARE TEACHING HOSPITAL

2018 ◽  
Vol 10 (4) ◽  
pp. 128
Author(s):  
Kala P. ◽  
Jamuna Rani R. ◽  
Sangeetha Raja
Keyword(s):  
Teaching Hospital ◽  
Antimicrobial Agents ◽  
Antimicrobial Prophylaxis ◽  
Tertiary Care ◽  
Antibiotic Policy ◽  
Prescription Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Institutional Ethics ◽  
Cefoperazone Sodium

Objective: This study was designed to analyze the prescription pattern of prophylactic antimicrobial agents used in preoperative patients.Methods: A descriptive observational study was done at a tertiary care teaching hospital in Potheri from July to December 2013 after obtaining of Institutional Ethics Committee clearance.Results: Total 284 patients were included in this study, out of which 141(49.6%) were females and 143(50%) were males. In the department of general surgery, the very commonly used antimicrobial agents were cefotaxime (81%) followed by cefoperazone sodium (42%). In the orthopaedics department, the frequently used antimicrobial agents were cefoperazone and sulbactam (39%) followed by cefazolin (29%). Most commonly used antimicrobial agent was cefotaxime (100%) in gynaecology department.Conclusion: Antimicrobial prophylaxis is helpful in declining the frequency of post-operative infections. This study explained about the various antimicrobial agents used prior to surgeries. Practitioners must prescribe an antibiotic based on their hospital antibiotic policy.

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