scholarly journals Prescription Audit and Dispensing Errors in the Outpatient Pharmacy of Tertiary Care Multispecialty Teaching Hospital

2021 ◽  
pp. 303-308
Author(s):  
T. Irsath Ahamed ◽  
K. Vaishnavi ◽  
R. R. Harini ◽  
Likhita Yalavarthi ◽  
Jagadeesan M.
Keyword(s):  
Teaching Hospital ◽  
Medical Devices ◽  
Hospital Pharmacy ◽  
Tamil Nadu ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Prescription Audit ◽  
Tablet Splitting ◽  
Omission Errors ◽  
Dispensing Errors

Background: Although errors occurring during the process of dispensing may affect the goal of the treatment, they also can be the significant cause of morbidity and mortality. There are only few published evidences which focuses on the errors of dispensing that occurs in the pharmacy.             This study focuses on identifying the dispensing errors, impact of brand substitution on cost and DDIs. Objective: To identify the dispensing errors, impact of brand substitution on cost and DDIs. Methodology: Prospective observational study conducted over a period of eight weeks in outpatient hospital pharmacy of tertiary care multispecialty teaching hospital, Tamil Nadu. Prescriptions and medication bills and dispensed medicines are collected from the hospital pharmacy to obtain data required for the study. Prescription containing only medical devices were excluded from the study. Results: Out of 1010 prescriptions, dispensing errors were present in 419 (41.48%) prescriptions which consist of 557 errors. The errors include dispensing multi-pills to make the required dose is 3.77%,tablet splitting is 0.8%, incorrect strength is 1.07%, omission error due to unavailability is 31.4%,dispensing drugs with brands other than prescribed brands is 63.7%. Prescriptions which had more than three drugs were analyzed for drug-drug interactions (n=389). DDIs were present in 156(40.1%) prescriptions which had a total of 281 interactions. Conclusion: The brand substitution and omission errors are the major causes of dispensing errors. Brand substitution is not always recommended as it may have some adverse effects because of salt and excipients variation. Pharmacists are in the position to identify and reduce DDIs by discussing with the physicians.

scholarly journals Adolescent gynaecology problems in rural South India: a review of hospital admission in a tertiary care teaching hospital in Ammapettai, Tamil Nadu, India A review of hospital admission in a tertiary care teaching hospital in Ammapettai

2017 ◽  
Vol 6 (5) ◽  
pp. 1920
Author(s):  
Wills G. Sheelaa ◽  
M. Chellatamizh ◽  
M. Mohanamba ◽  
P. Vijayalakshmi
Keyword(s):  
Health Services ◽  
Hospital Admission ◽  
Adolescent Girls ◽  
Teaching Hospital ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
Safe Motherhood ◽  
Unsafe Abortion ◽  
Adolescent Group ◽  
Common Cause

Background: Adolescent girl’s knowledge about sexual abuse and awareness of health services is poor. The study is conducted to analyse the gynaecological problems mandating hospitalization and to formulate modalities to improve their health and to ensure safe motherhood. The objectives of this study were to evaluate gynaecological problems in adolescent girls, and to analyse gynaecological emergencies, and to develop modalities to improve adolescent health and for safe motherhood.Methods: Retrospective hospital based observational study of hospital records regarding health issues and awareness of health services among girls in the age group of 13-19 years hospitalized for various medical and surgical problems during the period of January 2015 to January 2016 at Shri Sathya Sai medical college and Research Institute, Ammapettai, Kancheepuram, Tamil Nadu, India. 50 age, education, social background, knowledge of available health services, contraception and detailed history of menstruation regarding duration, quantity and previous medication prior to admission and their present cause of admission were analysed.Results: Total admission in the year were 50, medical 34 (including 5 girls who had check curettage for postabortal bleeding with severe anemia) and surgical 16. Early adolescent group were 34 (68%)and late adolescent group were 16 (32%), married were 5 (10%) and unmarried 45 (90%). All 50 girls were from low socioeconomic class, with rural background. 84% were school dropout and 40% were unemployed. 20 % of our study subjects were admitted with unsafe abortion with postabortal bleeding with no knowledge about Health services.16% were sexually abused and were raped. Abnormal uterine bleeding(menorrhagia) is the most common gynaecological problem in adolescent girls in our study. DUB (52%) is the most common cause. Second most common cause for abnormal bleeding is postabortal bleeding (40%). The most common surgical procedure done was check curettage for postabortal bleeding in 10%. Next common surgery was laparotomy for ovarian cyst in 6% cases and for torsion adnexal cyst in 6%.Conclusions: The most important cause for admission was anemia following abnormal excessive bleeding P/V due to DUB or postabortal bleeding. Second most important cause was ovarian tumours. Unprotected coitus, sex abuse and repeated unsafe abortions have increased the rate of PID and ectopic pregnancies. The study emphasizes the need to sensitize these young girls on the issue like excessive menstruation, gender relationships, and sex abuses. Create awareness and promote knowledge regarding medical issue, available health services and contraception to prevent unsafe abortion and its sequelae. Active implementation of projects like ARSH - adolescent friendly reproductive services, where confidentiality is maintained and proper counseling regarding contraception and supplementation of iron and folic acid is given to all adolescent girls who are future mothers and to ensure safe motherhood.

scholarly journals A PRESCRIPTION PATTERN STUDY OF RESPIRATORY TRACT INFECTIONS IN PAEDIATRIC INDOOR PATIENTS IN A TERTIARY CARE TEACHING HOSPITAL - A PROSPECTIVE OBSERVATIONAL STUDY

2018 ◽  
Vol 11 (7) ◽  
pp. 251 ◽  
Author(s):  
Vandana Badar ◽  
Vidisha Parulekar ◽  
Priti Garate
Keyword(s):  
Observational Study ◽  
Respiratory Tract ◽  
Teaching Hospital ◽  
Respiratory Tract Infections ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Acute Bronchiolitis ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Tract Infections

Objectives: The objectives of the study were as follows: (1) To study the prescription patterns in Respiratory tract infections (RTI) in indoor patients in pediatric wards. (2) To check the rationality of treatment according to Modified Kunin’s rationality criteria. (3)To analyze the data of RTI by Anatomical Therapeutic Chemical classification.Methods: It was a non-interventional, prospective, observational study which was conducted in indoor pediatric patients in a tertiary care teaching hospital in India. Data were analyzed and evaluated according to the WHO rational use of drugs guidelines.Study sample: The study sample was 174.Study duration: The study duration was August 15, 2016–September 15, 2016.Results: Males (63.79%) were more as compared to females (36.20%), and the highest number of cases was seen in infants (62.06%). Acute bronchiolitis (54.02%) was highest in the incidence followed by Wheeze Associated Lower Respiratory Tract Infection (WALRI) (30.45%). The average duration of patient stay in hospital was 4.71 days whereas 93.33% were polytherapy and mostly prescribed antibiotic was amoxicillin-clavulanic acid in acute bronchiolitis and WALRI. Salbutamol (40.84%) and Ipratropium Bromide (39.43%) were the commonly prescribed respiratory medicines. Oral route (42.27%) was the most common route of administration. 56.11% drugs were prescribed by generic name.Conclusion: Standard treatment guidelines for the treatment of RTI need to be urgently developed and strictly implemented.

Comparison of incidences and indications of multi primary caesarean with primi caesarean mothers in a tertiary care teaching hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 4263
Author(s):  
M. Sujatha Alagesan ◽  
M. Meena
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Teaching Hospital ◽  
Tamil Nadu ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Foetal Distress ◽  
College Hospital ◽  
Medical College ◽  
Clinical Profiles

Background: The incidences and indications of caesarean sections between the primary caesarean multies and caesarean primies were comparable in respect of their demographical and clinical variables of mothers and their foetal outcomes. Aim and objective of the study was to analyze the incidences and indications of primary caesarean multies and caesarean primies. To compare the incidences and indications of mothers between the primary caesarean multies and caesarean primies. To compare the demographic and clinical profiles of the mothers and babies.Methods: During January to June 2016 total of 3583 deliveries were conducted in Tiruneleli Medical College Hospital, Tamil Nadu, India. Among them 89 and 1168 were primary caesarean multies and caesarean primies respectively. They had been compared according to the objectives.Results: The caesarean incidences were 62.5% among the primies and 4.8% among the multies as Primary. The primary caesarean incidences among the multies were statistically significantly lesser in the 15-24 ages than the primi (P<0.05). 25-29 age bracket the incidences were not differed significantly (P>0.05). After 30 years of age, the incidences were statistically significantly increased among the multies (P<0.05). The birth weight of babies did not show any statistically significant indications between the two groups (P>0.05). The indications of Foetal distress, Severe Oligo hydration and others did not show any statistically significantly difference between the groups (P>0.05). Mal presentation and Ante Partum hemorrhage were significantly more among the multies than primies (p<0.05) and Failed indication and CPD were the significantly lesser indication than the primies (P<0.05).Conclusions: Without reducing the caesarean section rate in primi we cannot bring down the overall caesarean rate of delivery.

scholarly journals Drug prescription pattern of outpatients in a tertiary care teaching hospital in Tamil Nadu

2018 ◽  
Vol 9 (3) ◽  
pp. 133 ◽  
Author(s):  
S Shanmugapriya ◽  
T Saravanan ◽  
SSaranya Rajee ◽  
R Venkatrajan ◽  
PinkyMariam Thomas
Keyword(s):  
Teaching Hospital ◽  
Tamil Nadu ◽  
Drug Prescription ◽  
Tertiary Care ◽  
Prescription Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching
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