scholarly journals Rational prescribing practice assessment among resident doctors in a tertiary care teaching hospital: a questionnaire based observational study

2019 ◽  
Vol 8 (11) ◽  
pp. 2371
Author(s):  
Sajad H. Syed ◽  
Rehana Tabassum ◽  
Tuoseef Nazir ◽  
M. Y. Bhat
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Well Being ◽  
Essential Medicines ◽  
Work Place ◽  
Cross Sectional ◽  
Jammu And Kashmir ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Prescribing Practice

Background: One of the important factors in health policy is recognised to be rational use of medicines (RUM). Physicians can influence the health and well-being of patients by prescribing appropriate drug in right doses and they should be taught to prescribe rationally at the earliest of their professional carrier.Methods: This cross-sectional, questionnaire-based study was carried out in SMHS hospital which is a tertiary-care teaching hospital associated with Government Medical College, Srinagar, Jammu and Kashmir, India.Results: Out of 106 resident doctors enrolled in the study, 96.2% respondents were aware about the term essential medicines of India, and 47.6% had National List of Essential Medicines of India available at their work place. When the participants were questioned about the term RUM only 17% of them responded positively, but majority of the resident doctors (88.67%) were aware about the ingredients of the drugs they use to prescribe. Though only 3.7% of our participating doctors always use essential medicines during their prescription writing but majority of them (96.22%) would always use to inform the patient regarding disease, drug therapy and monitoring of drug therapy.Conclusions: Considering the fact that respondents are future prescribers they should be aware of all aspects about RUM and improper knowledge in certain areas of RUM is a matter of concern that needs to be addressed.

scholarly journals Assessment of rational prescribing practice among interns: a questionnaire based observational study

2018 ◽  
Vol 6 (8) ◽  
pp. 2808
Author(s):  
Rohini Gupta ◽  
Apoorva Malhotra ◽  
Pavan Malhotra
Keyword(s):  
Tertiary Care ◽  
Essential Medicine ◽  
Continuing Professional Development ◽  
Final Analysis ◽  
Well Being ◽  
Essential Medicines ◽  
Work Place ◽  
Cross Sectional ◽  
Rational Prescribing ◽  
Prescribing Practice

Background: Rational use of medicines (RUM) is recognized as an important factor in health policy. Prescribing appropriate drugs in right doses is an integral part by which a physician can influence the patient’s health and well‑being. Rational prescription writing is a skill which should be mastered at the earliest. Understanding the knowledge and perception of interns will help us to identify the problems in clinical pharmacology teaching, and the method to implement RUM. Objective was to assess the rational prescribing practice among interns in a tertiary care teaching hospital.Methods: This cross-sectional, questionnaire-based study was carried out in 92 interns of Acharaya Shri Chander College of Medical Sciences and H, Sidhra, Jammu (J and K). Interns posted in different departments of the hospital in the year 2016 (n = 92) were approached and explained the purpose of the study. 88 gave consent to participate in the study. Out of 88 only, 82 duly filled questionnaires were used for final analysis. Those who were not willing to participate in the study and those whose questionnaires were not duly filled were excluded from the study. The completed questionnaires were then assessed for responses of the students on principles of good prescribing.Results: Of the 92 interns, 88 gave consent to participate in the study while 82 of them returned the duly completed questionnaires (response rate was 89.1%). The mean age of the respondents was 24.1 years. Out of 82 interns, 95.1% respondents were aware about the term RUM, only 8.5% had National List of Essential Medicines of India (NLEMI) available at their work place. Though 41.5% interns were aware of the term P-drug, only 3.7% were aware about STEP criteria. Majority of interns 62.1% relied on information from standard text books whereas 24.3% rely on Medical representatives (MR) for obtaining information about various drugs and regimens.Conclusions: In conclusion, it is encouraging finding that higher percentages of interns were aware about essential medicines (EM) and also prescribe it. However, level of understanding related to personal drug (P-drug) concept and existence of Essential medicine list (EML) are much below par. Furthermore, prescribing by trade name and dependency on MR for drug information is the matter of concern. Hence, there is a need to strengthen the mechanism for continuing professional development of interns to update their knowledge and skills to prescribe rationally.

Knowledge, attitude and practices of rational use of medicines among interns in a tertiary care teaching hospital in Telangana

2021 ◽  
Vol 12 (6) ◽  
pp. 65-69
Author(s):  
Kranti Tekulapally
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Essential Medicines ◽  
Prescribing Practices ◽  
Cross Sectional ◽  
Rational Use ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Rational Use Of Medicines ◽  
Prescription Writing

Background: Rational use of drugs significantly impacts the treatment outcomes and the cost of health care. Most of the medical students are exposed to rational use of medicines and prescription writing during their second year but it is only during internship that they actually start prescribing under expert guidance. Aims and Objective: This study was planned to assess the rational prescribing practices of Interns in a tertiary care teaching hospital. Materials and Methods: With prior approval from Institutional Ethics Committee, a cross sectional study was conducted among 2014 batch of Interns from Malla Reddy Medical College for Women, Suraram, Hyderabad. Hard copies of prevalidated questionnaire consisting of 23 questions including a question on writing a prescription for a patient suffering from cold and fever was administered to the students after taking oral informed consent. Data from completed questionnaires was entered into excel sheet and analysed using descriptive statistics. Results: Of 64 interns, only 20% were aware of the term rational use of medicines, 75% of the term essential medicines and 22% of p drugs. Most of them were unaware of the step criteria for p drugs and advantages of using p drugs (87%). 95% of them reiterated that they could label the parts of prescription but mean score of the interns for writing a prescription was 3. 62% of them had positive attitude towards prescription writing. Conclusion: There is a need to improve the knowledge, attitude and practices of Rational use of Medicinesamong the Interns. Educational interventional strategies in the form of seminars, workshops, orientation programs can be adopted to promote rational use of medicines.

Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

scholarly journals PATTERN OF ADVERSE DRUG REACTIONS IN A TERTIARY CARE TEACHING HOSPITAL: A CROSS-SECTIONAL STUDY

2017 ◽  
Vol 10 (3) ◽  
pp. 170 ◽  
Author(s):  
Sangeetha Raja ◽  
Jamuna Rani R ◽  
Kala P
Keyword(s):  
Adverse Drug Reactions ◽  
Teaching Hospital ◽  
Antimicrobial Agents ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Drug Reactions ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

ABSTRACTObjective: The aim of this study was to carry out adverse drug reactions (ADRs) monitoring in various departments of a tertiary care teaching hospital.Methods: A cross-sectional study was conducted on ADRs reported in the hospital from December 2012 to May 2013 after obtaining InstitutionalEthics Committee approval.Results: A total of 40 ADRs were reported, 47.50% were males and 52.50% were females. The female adult population was 45%. The majority of ADRswere due to antimicrobial agents especially beta-lactam antibiotics (42.5%) followed by NSAIDs (7.50%). A maximum number of patients (75%)were reported with dermatological manifestations. The department of medicine reported the highest number of ADRs (37.5%). As per Naranjo’sprobability scale, 62.5% reports were assessed as probable. 62.5% reports were documented as mild according to Modified Hartwig’s criteria forseverity assessment.Conclusion: This study was done to sensitize the practicing physicians on the importance of adverse drug monitoring and reporting.Keywords: Pharmacovigilance, Adverse drug reactions, Tertiary care teaching hospital, Antimicrobial agents.

scholarly journals Knowledge, Attitude & Practice Among Psoriasis Patients in India Towards Teledermatology During COVID-19 Pandemic

2021 ◽  
Vol 6 (4) ◽  
pp. 01-13
Author(s):  
Archana Mavoori ◽  
Sudha Bala ◽  
Rajiv Kumar Bandaru ◽  
Aruna Kumari Yerra
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Attitude And Practice ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

Background: The current COVID-19 pandemic has imposed upon the entire community norms of social distancing and home quarantine. Follow up consultations in these times can be made through teledermatology through smart phones. Success of this technology in these hours of crisis depends upon the knowledge, attitude and behaviour of patients towards teledermatology. Follow up consultations done through teleconsultations will decrease risk of exposure to COVID-19 among psoriasis patients who need frequent follow ups. Aim: The main objective of this study is to assess the awareness, knowledge, attitude and practice of teledermatology through teledermatology among psoriasis patients at a tertiary care teaching hospital. Materials and Methods: A cross-sectional survey, from Psoriasis Clinic registry maintained in the outpatient department of DVL of a tertiary care teaching hospital in India is conducted. A pre-validated self-administered questionnaire is used for the survey to assess knowledge, attitude and practice of teledermatology. Analysis will be done as per study objectives using descriptive statistics for quantitative data and content analysis for qualitative data. Results: Out of 150 patients, 87(58%) were males and females were 63(42%). Most common age group to participate in the study was 36-45 years- 43(28.7%). Majority of participants were educated up to –graduate 53(35.3%). Males had higher knowledge and attitude scores compared to females. Most of the patients found using teleconsutations easy and convenient. Conclusion: Teledermatology is the need of the hour to be implemented in these hours of COVID-19 pandemic.

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