scholarly journals A Study of Prescribing Practices in Outpatient Department of an Apex Tertiary Care Institute of India

2014 ◽  
Vol 2 (1) ◽  
pp. 31-35
Author(s):  
Shakti Kumar Gupta ◽  
V Siddharth ◽  
S Arya
Keyword(s):  
Tertiary Care ◽  
Poor Quality ◽  
Outpatient Department ◽  
Periodic Review ◽  
Prescribing Practices ◽  
Care Institute ◽  
Lower Socioeconomic ◽  
Registration Number ◽  
Outpatient Departments ◽  
And Gender

ABSTRACT Introduction Poor quality prescriptions, besides affecting patient safety, have a deleterious impact on the restricted purse of sick persons, especially those belonging to lower socioeconomic strata. Objective To study the prescribing practices in outpatient departments of an apex tertiary care institute of India. Methodology Descriptive and observational study of randomly taken sample of 300 prescriptions from pharmacy was carried out. Parameters for analysis were selected based on review of literature. Observations Of the total samples analyzed, OPD registration number, date of registration, patients name, gender and department were mentioned in 99.3% of prescriptions. Patient name was mentioned in all the prescriptions and gender was present in 99% prescriptions. Address of the patient was present in only 64.7% (194) prescriptions. 93.7% of the prescriptions were legible. Ninety-seven percent of the prescriptions carried diagnosis or presenting complaints. An average of 2.82 ± 1.77 (median – 3) drugs were prescribed per patient. Only 1.63% (14) prescribed drugs were generic. In our study, antacids (26.33%) followed by the vitamins (24%), analgesics (23.3%), antibiotics (22.8%) and antipyretics (18%) were the most commonly prescribed drugs. Drug strength, drug frequency and drug administration route was mentioned in only 62, 89 and 89% of the total prescriptions. Fifty percent did not carry the duration and mean duration of prescription was 17.75 ± 24.18 days. Signature, name, designation, address, stamp and medical registration number of the physician was mentioned only in 96.7, 7.3, 6.7, 2.7, 0.7 and 0% of the prescriptions respectively. Conclusion The study has brought out the need for sensitization and awareness programes for doctors to improve the quality of prescription-writing and periodic review of prescriptions. How to cite this article Siddharth V, Arya S, Gupta SK. A Study of Prescribing Practices in Outpatient Department of an Apex Tertiary Care Institute of India. Int J Res Foundation Hosp Healthc Adm 2014;2(1):31-35.

scholarly journals Co-morbidity pattern among type-II diabetes mellitus patients attending outpatient department of a rural tertiary care institute of North India

2021 ◽  
Vol 12 (7) ◽  
pp. 69-74
Author(s):  
Ravinder Pal ◽  
Ramesh Kumar Verma ◽  
Navtej Singh ◽  
Tarun Dr
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Tertiary Care ◽  
Type Ii Diabetes Mellitus ◽  
Outpatient Department ◽  
North India ◽  
Comorbid Conditions ◽  
Care Institute ◽  
Co Morbidity ◽  
Study Participants

Background: Diabetes mellitus (DM) describes a group of metabolic disorders characterized by high blood glucose levels. People with diabetes have an increased risk of developing a number of serious life-threatening health problems resulting in higher medical care costs, reduced quality of life and increased mortality. Knowledge of the prevalence about coexisting medical conditions in specific population groups helps healthcare providers and policymakers to allocate health resources efficiently and tailor diabetic care management to effectively utilize healthcare programs while decreasing healthcare expenditure. Aims and Objectives: To find out the pattern of comorbidity burden among Type-II diabetes mellitus patients attending outpatient department of a rural tertiary care institute of North India. Materials and Methods: Study setting: Outpatient department (OPD) of General Medicine of Rural Tertiary Care Institute in North India. Study design: Descriptive, cross-sectional. Study population: Patients who had already been diagnosed by a physician of having Type 2 diabetes mellitus (T2DM) and attended OPD for follow-up during study period i.e. 1st November 2019 to 31st January 2020. Results: Among 82 study participants, 36 were males and 46 females. A total of sixty-six study participants had co-morbidities along with diabetes mellitus. Most common co-morbidity recorded was related to cardiovascular system and neuropathies. Adherence to treatment was followed by 46 (56%) and dietary advice by 42 (51%) study participants. Conclusion: In light of the chronicity of the disease and increasing prevalence of diabetes with associated comorbid conditions, there is a need for clearcut guidelines to address health risks of diabetes with other comorbid conditions. There should be provision for regular formal health education sessions to address co-morbidities, complications due to diabetes.

Prescribing trends of ceftriaxone in private sector tertiary care hospital in Lahore

2015 ◽  
Vol 1 (1) ◽  
pp. 23-26
Author(s):  
Allah Bukhsh ◽  
Maryam Manzoor ◽  
Salma Shahzadi ◽  
Shaheen Nadeem ◽  
Shazia Jamshed
Keyword(s):  
Drug Use ◽  
Private Sector ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Poor Quality ◽  
National Standard ◽  
Care Hospital ◽  
Prescribing Practices ◽  
Cross Sectional ◽  
Prescribing Trends

Drug use evaluation is the method of performance improvement that focuses on evaluation and improvement of drug use processes to achieve optimal patient outcomes. Assessment of antimicrobials can be performed by evaluating their use. The quality of pharmaceuticals is a worldwide concern, poor quality and substandard medicines can cause harm in various ways. In developing countries including Pakistan there are the number of cases reported showing high incidence of empirical use of drugs. Empirical use of antibiotics leads to antimicrobial resistance, which forces the therapy to switch from 1st line drugs to 2nd line. Also increased use of antibiotics other than specified treatment results in increase patient stay at hospital and cost. The objective of this study was to evaluate the drug use practices of Ceftriaxone in private sector tertiary care hospital. In this concurrent cross-sectional study, medication orders of 50 patients who received Ceftriaxone were studied from August to October 2013. Data were collected randomly by using a structured format and evaluated against the standard criteria set from British National Formulary to evaluate drug use practices. It was observed that 42% of patients were prescribed with Ceftriaxone for UTI’s. Majority of the patients (54%) were of age ranging from 20-30 years and from male gender (90%). A dose of 2gm/day was prescribed in 52% of the patients. The dose and frequency that we observed were the same as that mentioned in standard (BNF). The prescribing practices were satisfactory according to our study but it can be enhanced further by adhering to national standard guidelines.

scholarly journals Drug utilization study in patients visiting dermatology outpatient department in tertiary care hospital

2020 ◽  
Vol 9 (10) ◽  
pp. 1533
Author(s):  
Salman H. Rizvi ◽  
Ujwala P. Gawali ◽  
Prashant S. Mishra
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Essential Medicines ◽  
World Health ◽  
Care Hospital ◽  
Prescribing Practices ◽  
Cross Sectional ◽  
Research Activities ◽  
Tertiary Healthcare

Background: With the surge of basic and clinical research activities, and subsequent recognition of newer dermatological disorders; dermatology is now considered to be one of the most important specialties in a healthcare setup. Dermatological problem in India manifests as primary and secondary cutaneous complaints. The aim of this study was to assess current prescribing practices among physicians for dermatology patients in tertiary care hospital.Methods: A prospective, observational and cross-sectional study was conducted in Department of Pharmacology in collaboration with Department of Dermatology in a tertiary healthcare hospital. As per inclusion criteria, patients visiting Dermatology Outpatient department (OPD) from October 2018 to December 2018 were enrolled in the study.Results: The average number of drugs per encounter was 4.9. 100% of the drugs were prescribed by their generic name and those prescribed from World Health Organization (WHO) list of essential medicines were 68.9%. Analysis of polypharmacy showed maximum 11 and minimum 2 drug was prescribed. Overall analysis of the drugs showed, the most common route of administration was orally. Antihistamines, antifungals and steroids constitute the major bulk of drug prescribed.Conclusions: In our study, though polypharmacy was found but it was necessary as per the conditions. Anti-fungal, antihistamines and steroids were the most common drugs prescribed. Prescriptions with injections and steroids were less in the study population. All the drugs were prescribed by their generic name and most were present in the essential list of medicines. Use of Nonsteroidal anti-inflammatory drugs (NSAIDs) was higher in our study as compared to other studies.

scholarly journals Assessment of patient satisfaction in outpatient department of a tertiary care hospital in West Bengal, India: a questionnaire based study

2018 ◽  
Vol 5 (9) ◽  
pp. 3919 ◽  
Author(s):  
Pankaj Kumar ◽  
Anjan Adhikari ◽  
Moumita Ray ◽  
Rania Indu ◽  
Sangita Bhattacharya ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Waiting Time ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Care Hospital ◽  
Optimal Care ◽  
Quality Health Care ◽  
Patients Satisfaction ◽  
Outpatient Departments

Background: Feedback is an important and integral part of any system. Perception of the beneficiaries in any healthcare setup provides impact for refining the system. The assessment of the patients’ satisfaction on different issues regarding healthcare services provides insight about the drawbacks of different healthcare systems. This could assist to upgrade the quality of services through different interventional measures. Present study evaluated the patient satisfaction in outpatient departments (OPD) of a tertiary care hospital, Kolkata, West Bengal.Methods: A total of 500 patients, attending different OPD in a tertiary care hospital were randomly selected for an observational, questionnaire based interview study, initiated in 2016. Some predictors for patients’ satisfaction like ‘outpatient department services’, ‘waiting time’, ‘cleanliness’, ‘privacy’ and ‘any problem faced during health checkup’, ‘overall satisfaction’ were evaluated.Results: Present study showed 78% of the study population was satisfied with the service received and 81% opined that clean environment was effectively maintained in the hospital premises and different outpatient departments. 83%, 84% and 75% of the patients were satisfied regarding the registration process, services received from the doctors and pharmacy, respectively. However, waiting time was too long and privacy was not maintained properly.Conclusions: Present study regarding patients’ satisfaction towards quality health care concluded that optimal care can be provided by combining both medical and social aspects, influencing the psychological factors of the patients. A separate system should be developed on assessment of “need of the patient” as well as guiding the patient for proper use of the health facilities.

scholarly journals Audit of Prescribing Practices to Evaluate Rational Use of Medicines in the OPD of Orthopaedics in a Private Medical College Hospital

2013 ◽  
Vol 4 (2) ◽  
pp. 39-42
Author(s):  
Mohammad Afsan ◽  
MM Ekramul Haque ◽  
Muhammad Mahbubul Alam ◽  
Nushrat Noor
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Prescribing Patterns ◽  
Outpatient Department ◽  
Carbon Paper ◽  
Prescribing Practices ◽  
College Hospital ◽  
Cross Sectional ◽  
Rational Use ◽  
Inappropriate Use

Background: Prescribing patterns need to be evaluated periodically to increase the therapeutic efficacy, decrease adverse effects and provide feedback to prescribers. Like all other developing countries, irrational and inappropriate use of drugs is very common in Bangladesh. Objectives: The main objective of the prescription audit was to define the pattern of drug used in the outpatient department of orthopaedics. Methodology: This was a descriptive type of cross-sectional study. The study was conducted in the Outpatient Department (OPD) of Orthopaedics in a tertiary care private teaching hospital. Dhaka, Bangladesh in between January to March '2012. A total of 300 prescriptions were obtained with the help of a pre-inserted carbon paper in a special format using WHO core prescribing indicators and some additional indices. Results: The average number of drugs per encounter was 3.78 and no single drug was prescribed by generic name. Use of an antibiotic and an injection was in 6.67% and 3.33% of encounters respectively. Only 4.32% drugs were prescribed from national essential drug list (EDL). Percentage of encounters with a NSAID, an antiulcerant and a calcium preparation prescribed were 97%, 97.33% and 67.33% respectively. Conclusion: The patterns of drug prescribing in the OPD of orthopaedics did not fulfill the WHO criteria for rational use of medicine. DOI: http://dx.doi.org/10.3329/jssmc.v4i2.14399 J Shaheed Suhrawardy Med Coll, 2012;4(2):39-42

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