ABSTRACT
Background: Analysis of prescription of doctors is done to determine, evaluate, and improve the care of patients in a well-organized way and it estimates on-going practice against a defined standard. Aim and Objective: The aim of the study was to provide the broad outline of performance and delineate parameter as per the check list of prescription audit. Materials and Methods: An observational and non-interventional study was carried out from July 2021 to November 2021 at peripheral medical college, Gujarat. Randomly, we have selected 500 prescriptions. This prescriptions were evaluated as per World Health Organization prescribing indicators and then it were analyzed for errors in prescription writing. Results: In this study, total 500 prescriptions were analyzed and total 1839 drugs were prescribed. Average number of drugs per prescription was 3.67. The percentage of drugs prescribed by generic name was 94.6%. The percentage of encounters with an antibiotic prescribed was 29%. In our prescription audit study, 39.16% (1762 count) prescriptions were non complete and 60.84% (2738 count) prescription were having complete details. Conclusion: If the drug is prescribe by generic name and from essential drug list chances of dispensing error decrease and hand out of incorrect drug to patient is reduced. Minimizing drug per prescription attenuates chances of drug-drug interactions. Regular prescription audit should be conducted regularly which increase the awareness in prescriber and effective, safe, and economics therapeutic practice.
ABSTRACT
Background: Adverse drug reactions (ADR) are regarded as one of the major reason of morbidity and mortality all over the world. 3 According to previous studies, 35% of the hospitalized patients experience an ADR during their hospital stay. Various studies on pharmacovigilance indicate inadequate knowledge, poor attitudes, and lack of awareness among healthcare personnel are associated with a high degree of underreporting of ADRs. Intern doctors are one of the points of first contact when it comes to ADRs. Aim and Objectives: Aim of the study was to assess knowledge, attitude, and practice of pharmacovigilance in peripheral medical college among intern doctors. Materials and Methods: This study was a questionnaire-based cross-sectional study which was conducted at GMERS Medical College and hospital, Junagadh. Out of 90 intern doctors 70 have participated in our study. 18 questions were included in the questionnaire out of which ten related to knowledge, five related to attitude and three related to practice. Results: Average score of knowledge about pharmacovigilance is 5 points out of 10 point. Most of the intern doctors 92.9% (n = 65) are in a general consensus the reporting of ADRs is necessary and 88.6% are in the opinion that medical students like could play a major role in reporting ADRs. Difficult to decide whether ADR is occurred or not is most common factor (51.4%) which discourages intern doctors from reporting ADRs. Conclusion: Knowledge about pharmacovigilance can be enhanced by organizing various teaching programs on pharmacovigilance. Underreporting can be overcome by regularly arranging pharmacovigilance awareness program. Therefore, there is a necessity of undertaking educational program in every hospital to improve the attitude and knowledge toward ADRs reporting.