A cross-sectional study on current prescription trends and errors in outpatient department of a Bangladeshi secondary care district hospital.

Q2 Medicine Perspectives in Clinical Research Pub Date : 2022-07-01 Epub Date: 2021-03-26 DOI:10.4103/picr.PICR_245_20
Md Mizanur Rahman, Ashfia Tasnim Munia, K M Yasif Kayes Sikdar, Md Raihan Sarkar
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Abstract

Context: The rational prescription leads to a healthy and good-quality life of a patient. Irrational, inappropriate, and unnecessary prescriptions are major therapeutic issues in Bangladesh, which can cause severe consequences.

Aim: This cross-sectional study was conducted to evaluate the prescription patterns and errors as well as to review the most frequently prescribed drug classes among outpatients at a secondary hospital in Pabna, a district of Bangladesh.

Methods: A total of 400 prescriptions were reviewed from March 2019 to May 2019. In this study, statistical data analysis was implemented by IBM SPSS Statistics V22 and data revealed in frequencies, mean, and percentage. Spearman's rank correlation coefficient was calculated to show the correlation between bivariate coded variables.

Results: The results revealed that majority of the prescription were prescribed for females (73.5%) where proton-pump inhibitors (PPIs), analgesics, vitamins, and single antibiotics were most frequently prescribed medicine for the female patients compared to male patients. Almost half of the collected prescription contained four medicines (47%). Maximum number of prescriptions contained two (30.5%) essential drugs and among 1402 medicines of 400 prescriptions, antiulcerants were most frequently prescribed medicine (23.32%) where esomeprazole was highly prescribed generic drug (44.75%). Moreover, Spearman's rank correlation coefficient suggested that PPIs and analgesics were frequently prescribed medicines at a time for the patients (0.182). According to the age group, the study also got some significant variations in prescribing pattern. However, most common prescription errors were prescriber's name not mentioned (100%), diagnosis not mentioned (96.75%), dose not indicated (15.41%), and wrong drug name (0.36%).

Conclusion: Findings of the current study represent the existing prescribing trends of different therapeutic classes of drugs and common prescription errors in a secondary health facility of Bangladesh. From this study, it is observed that physicians prescribed rationally in some cases but need to ensure rationality in all prescriptions. Continuous monitoring of drug use, development of prescribing guidelines, and training are recommended to ensure and implement good-quality prescribing practices for promoting the rational and cost-effective use of drugs.

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对当前处方趋势和错误的横断面研究在门诊的孟加拉国二级保健地区医院。
背景:合理的处方是患者健康、高质量生活的基础。不合理、不适当和不必要的处方是孟加拉国的主要治疗问题,可能造成严重后果。目的:本横断面研究旨在评估处方模式和错误,并审查孟加拉国帕布纳地区一家二级医院门诊患者中最常用的处方药类别。方法:对2019年3月~ 2019年5月的400张处方进行审核。本研究采用IBM SPSS Statistics V22软件对统计数据进行分析,数据以频率、平均值和百分比的形式显示。计算Spearman等级相关系数以显示二元编码变量之间的相关性。结果:处方以女性为主(73.5%),其中质子泵抑制剂(PPIs)、镇痛药、维生素和单一抗生素是女性患者最常使用的药物。收集到的处方中几乎有一半含有四种药物(47%)。在400张处方的1402种药物中,抗溃疡药是处方最多的药物(23.32%),埃索美拉唑是处方最多的仿制药(44.75%)。此外,Spearman等级相关系数显示ppi和镇痛药是患者一次常用的药物(0.182)。根据年龄组,研究还发现处方模式存在显著差异。但最常见的处方错误是未提及开处方者姓名(100%)、未提及诊断(96.75%)、未指明剂量(15.41%)和药品名称错误(0.36%)。结论:目前研究的结果代表了孟加拉国二级卫生设施中不同治疗类别药物的现有处方趋势和常见处方错误。从本研究中可以看出,医生在某些情况下合理处方,但需要确保所有处方的合理性。建议持续监测药物使用情况,制定处方指南和培训,以确保和实施高质量的处方做法,促进合理和具有成本效益的药物使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Perspectives in Clinical Research
Perspectives in Clinical Research Medicine-Medicine (all)
CiteScore
2.90
自引率
0.00%
发文量
41
审稿时长
36 weeks
期刊介绍: This peer review quarterly journal is positioned to build a learning clinical research community in India. This scientific journal will have a broad coverage of topics across clinical research disciplines including clinical research methodology, research ethics, clinical data management, training, data management, biostatistics, regulatory and will include original articles, reviews, news and views, perspectives, and other interesting sections. PICR will offer all clinical research stakeholders in India – academicians, ethics committees, regulators, and industry professionals -a forum for exchange of ideas, information and opinions.
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