一家三级医疗教学医院对实习生处方书写技能实训的评估

SWETHA K, Nithin Shetty, V. K., Neeta T Gavimath
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摘要

研究目的本研究旨在评估处方错误的发生率,并比较实习生在 "处方书写 "教学干预前后的处方书写技能:本研究在位于 Karwar 的三级医疗教学医院 Karwar 医学院进行。自 2021 年 6 月起的 6 个月内,作为轮转实习岗位的一部分被派往骨科的所有实习生在获得书面知情许可后,均被纳入本研究。我们收集了三个不同病例的书面处方,并举办了有关 "处方书写 "的研讨会和实践培训。随后,要求实习生针对同样的三种情况重新书写新处方:结果:共收集并分析了 65 名实习生的 390 份处方。在 58%、36%、62% 和 78% 的处方中,日期、诊断、处方者姓名和资质均不存在。分别有 44% 和 12% 的处方没有写明患者的年龄和姓名。经过实践教学干预后,处方书写的整体水平显著提高:结论:实习生经常写错处方,因为他们没有保留本科二年级所学的药物治疗信息。有必要开展基本处方书写教学计划,以更新他们的知识和处方书写技能。
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ASSESSMENT OF HANDS-ON TRAINING ON INTERNS’ PRESCRIPTION WRITING SKILLS AT A TERTIARY CARE TEACHING HOSPITAL
Objectives: This study was conducted with an objective to assess the prevalence of prescription errors and to compare the prescription writing skills of the interns’ pre and post-teaching interventions on the appropriateness “prescription writing.” Methods: This research was conducted in a tertiary care teaching hospital Karwar Institute of Medical Sciences, Karwar. All interns posted to the orthopedics department as a part of rotatory internship postings during the 6 months from June 2021 were included in this research after receiving informed permission in writing. We gathered the written prescriptions for three distinct cases and a seminar and hands-on training about “prescription writing” was given. Subsequently, the interns were requested to re-write new prescriptions for the same three situations. Results: A total of 390 prescriptions from 65 interns were gathered and analyzed. In 58%, 36%, 62%, and 78% of the prescriptions, date, diagnosis, prescriber’s name and qualification were absent. In 44% and 12% of the prescriptions, the patient’s age and name were not written, respectively. Following the hands-on teaching intervention, a noteworthy enhancement in the overall prescription writing was noted. Conclusion: Interns often write prescriptions incorrectly because they do not retain the pharmacotherapeutic information that was given in the 2nd year of the undergraduate program. A teaching program of basic prescription writing is necessary to refresh their knowledge and prescription writing skills.
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