scholarly journals A study of prescription auditing in inpatient general medicine in tertiary care government hospital

2020 ◽  
Vol 8 (11) ◽  
pp. 3979
Author(s):  
Yogi Eshwar P. Kumar ◽  
Giri D. Rajasekhar
Keyword(s):  
Tertiary Care ◽  
Inappropriate Prescribing ◽  
General Medicine ◽  
Government Hospital ◽  
Interventional Study ◽  
Medicine Department ◽  
Patient Diagnosis ◽  
Quality Of Medical Care ◽  
Medication Chart

Background: Irrational prescribing is a global problem. Prescription auditing can help to find the medication errors caused by the Inappropriate prescribing. It is the systematic tool for analysing the quality of medical care, including the procedures used for diagnosis and treatment.Methods: An observational, non-interventional study carried in general medicine department. A list of 10 questions were prepared to assess the appropriateness of prescribing patterns.Results: A total of 110 prescriptions were collected and audited. Out of 110 prescriptions 6 (5%) prescriptions have therapeutic duplications and 21 (19%) classes of drugs in the prescription have interactions with each other. Found 8 (7%) drug food interactions. Found 100% appropriateness of drug ordered based on patient diagnosis, dosage of drug, frequency of drug, route of administration, drug intended to have a drug order in the medication chart, medication orders are clear, legible, dated, timed, names and signed, medication chart do not have any unapproved abbreviationsConclusion: This study shows most of the prescribers need to check for drug duplication, drug-drug interactions and drug-food interactions before prescribing the medicines.

scholarly journals A Prospective Study on Adverse Drug Reactions in Inpatients of General Medicine Department in a Tertiary Care Hospital- A clinical Pharmacist-led Study

2021 ◽  
pp. 111-122
Author(s):  
Shereen Hassan ◽  
U. Ujwal Kumar ◽  
Venessa Mascarenhas ◽  
G. Suresh ◽  
K. C. Bharath Raj ◽  
...  
Keyword(s):  
Adverse Drug Reactions ◽  
Causality Assessment ◽  
Tertiary Care ◽  
Data Gathering ◽  
Drug Effects ◽  
General Medicine ◽  
Care Hospital ◽  
Age Group ◽  
Drug Reactions ◽  
Medicine Department

The present study was carried out to determine the incidence of Adverse Drug Reactions (ADRs) in general medicine department and to assess and analyze the causality, severity, and preventability of ADRs. A prospective observational study was conducted in the general medicine department for six months. All patients receiving drug therapy are considered and are selected based on the inclusion criteria. Patient demographic details like age, gender, diagnosis, past medical history, concomitant medications, etc., are recorded from the patient data gathering form. The causality assessment is accomplished using Naranjo and WHO scales. The severity is carried out using the Modified Hartwig and Siegel scale. The preventability evaluation is accomplished using the Modified Schmock and Thornton scale. The study included 385 patients were between the age group of 18 years and, out of which 34 patients developed adverse drug effects including female and male. Patients between the age group of 40-50 years (18.1%) developed a high incidence of ADRs. The causality was assessed using Naranjo’s causality assessment scale, 44.1% reactions were probable; 29.4% reactions were certain, 23.5% reactions were possible and 2.9 % reactions were conditional. When the reactions were assessed most of them were assessed 55.1% were moderate and 61.8% were probably preventable. Appropriate observation of the drug effect is essential to ensure the safety of the patient. This also will have the advantage of reducing the incidence of the ADRs, thus deplete the complications and helps to improve the quality of life of the patients.

scholarly journals TO ASSESS THE DRUG UTILIZATION PATTERN AND TO ANALYZE PHARMACOECONOMICS FOR GERIATRICS IN-PATIENT IN MEDICINE DEPARTMENT OF TERTIARY CARE TEACHING HOSPITAL

2017 ◽  
Vol 9 (12) ◽  
pp. 276
Author(s):  
Gurudeo N. Singh
Keyword(s):  
Diabetes Mellitus ◽  
Drug Utilization ◽  
Tertiary Care ◽  
General Medicine ◽  
Chronic Obstructive ◽  
Utilization Pattern ◽  
Obstructive Pulmonary Disease ◽  
Medicine Department ◽  
Co Morbidity ◽  
Collection Form

Objective: This study was conducted to generate the data on drug utilization pattern among geriatric inpatients in general medicine department.Methods: The patient’s prescriptions and medical record files were randomly selected on the basis of inclusion and exclusion criteria at medicine department of Shri Mahant Indiresh Hospital, Dehradun and the required data for the study were collected in well-designed data collection form and evaluated after the period of 3 months.Results: Among 175 patients, males were predominant and 31.42% patients were in age group of 71-75 years. Cardiovascular diseases (28%) were most common cause of hospitalization followed by, respiratory disorders (20.57%). Hypertension (25.72%) was most commonly diagnosed disease followed by, diabetes mellitus (22.2%) and chronic obstructive pulmonary disease (14.28%).  The most common co-morbidity was hypertension & diabetes mellitus. More than 3 co-morbidities were found in 79 patients. Cardiovascular drugs (22.17%) was most frequently prescribed drug followed by, gastrointestinal drugs (15.30%). Among individual drugs pantoprazole (A02BC02) was most commonly prescribed drugs.  Total of 1581 drugs were prescribed with an average of 9.03 drugs per prescription. Only 9.63% drugs were prescribed by generic name. Antimicrobials were prescribed in 146 prescriptions, among them ceftriaxone (J01DD04) was frequently prescribed.Conclusion: Most of the drugs were utilized by male patients and the rate of polypharmacy was high.

ORGANIZATION OF WORK OF NUCLEAR MEDICINE DEPARTMENT AFTER COVID-19

2020 ◽  
pp. 29-32
Author(s):  
Kudryavtsev A.D. ◽  
Filimonova A.M. ◽  
Znamenskiy I.А.
Keyword(s):  
Nuclear Medicine ◽  
Medical Staff ◽  
Medical Personnel ◽  
Medical Facility ◽  
Medicine Department ◽  
Medical Institutions ◽  
Quality Of Medical Care ◽  
Coronavirus Infection ◽  
Preventive Examination

The purpose of work was to develop and implement an algorithm for organizing the work of the nuclear medi-cine department in time of covid-19 epidemy. As a result of the spread of a new coronavirus infection, special requirements are imposed on medical institutions to ensure the safety of patients and medical staff. In ac-cordance with the recommendations of the European association of nuclear medicine, work was carried out on the introduction of preventive examination of per-sonnel, optimization of documentation flow and minimi-zation of direct contact between medical personnel and patients. Patient routing has been adapted, taking into epidemiological standards. The work carried out made it possible to prevent infection of medical staff and pa-tients. The time of contact with patients was reduced to the necessary minimum without any decrease the quality of treatment. Routing deficiencies were identified and eliminated, which significantly extended the time spent by patients in a medical facility. In addition, the load on the medical staff was optimized, which made it possible to improve the quality of medical care provided.

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