International Journal of Research Foundation of Hospital and Healthcare Administration

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VOLUME 4 , ISSUE 2 ( July-December, 2016 ) > List of Articles

ORIGINAL ARTICLE

Prescriptions Written in Capital Letters in Compliance with National Accreditation Board of Hospital Standards

Shalini Bhalla, Ritwik Chawla,, Saakshi Kaushik,

Citation Information : Bhalla S, Chawla, R, Kaushik, S. Prescriptions Written in Capital Letters in Compliance with National Accreditation Board of Hospital Standards. Int J Res Foundation Hosp Healthc Adm 2016; 4 (2):89-99.

DOI: 10.5005/jp-journals-10035-1065

License: CC BY 3.0

Published Online: 00-12-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objectives

(1) To study compliance rate of prescriptions written in capital letters according to continual quality improvement (CQI) 3j indicator of National Accreditation Board of Hospital (NABH) (4th edition). (2) To study compliance to doctors and patient detail, legibility of prescriptions, strength and dose, frequency, route of administration, dosage form, abbreviation for drug, allergy detail, and leading zeros in the dose.

Materials and methods

Convenient randomly selected Medication Administration Record (MAR) sheets from wards and intensive care units (ICUs) were studied. One hundred thirty-two prescriptions were identified for errors pertaining to doctor’s details, patient’s details, and medication details. Errors were captured on a prepared checklist for a period of 11 days. Results were analyzed by Microsoft Excel.

Results

Results were expressed in percentages for wards and ICUs respectively. Six hundred twenty four and 652 drugs were observed in wards and ICUs respectively. Doctor’s name was present in 79.6 and 83.3%. Out of 55 prescriptions in both wards and ICUs, patient’s name compliance was 94.5 and 96.4% and patient’s weight was 83.6 and 81.8% respectively. Compliance for drugs in capital was 98 and 100% for wards and ICUs respectively. Details pertaining to medication were also found out subsequently on various parameters.

Conclusion

The study revealed that the level of completeness of handwritten prescriptions was low in terms of doctor’s details and patient’s weight, which indicates unsatisfactory commitment of the prescribers to follow the hospital guidelines of prescribing. Majority of prescriptions showed compliance to medication written in capital but still the compliance to clear and legible prescriptions is three-fourths of the total prescriptions.

How to cite this article

Kaushik S, Chawla R, Bhalla S. Prescriptions Written in Capital Letters in Compliance with National Accreditation Board of Hospital Standards. Int J Res Foundation Hosp Healthc Adm 2016;4(2):89-99.


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  1. Principles of prescription order writing and patient compliance. Goodman and Gilman’s the pharmacological basis of therapeutics. Ed. Laurence L. Brunton, John S. Lazo, and Keith L. Parker. 11th ed. New York: McGraw-Hill, 2006. 1777-786. Print
  2. The incidence of prescribing errors in hospital inpatients: an overview of the research methods. Drug Saf 2005;28(10):891–900.
  3. What is the scale of prescribing errors committed by junior doctors? A systematic review. Br J Clin Pharmacol 2009 Jun;67(6):629–640.
  4. Legibility of doctors’ handwriting: quantitative comparative study. BMJ 1998 Sep;317(7162):863-864.
  5. (2016). Medication And Prescribing Errors Encountered In Khartoum Dental Hospital. World Journal of Pharmacy and Pharmaceutical Sciences, 4(10), 294-309. Retrieved from http://www.wjpps.com/download/article/1443596165.pdf.
  6. , Henning, R., Hogerzeil, H., & Fresle, D. (2016). Guide to Good Prescribing: A practical Manual (1st ed., p. 52). Geneva: World health Organization.
  7. ” The Times of India. PTI, 11 June 2015. Web. 23 Apr. 2016. Retrieved from http://timesofindia.indiatimes.com/india/Health-ministry-to-ask-doctors-to-write-prescriptions-in-capital-letters/articleshow/47630826.cms.
  8. Handwriting errors: harmful, wasteful and preventable. J KY Med Associates 2001 May;99(5):189-192.
  9. , Marsh, G., & O’Toole, M. (2003). Encyclopaedia & dictionary of medicine, nursing, and allied health (7th ed., pp. 112-132). Philadelphia: Saunders.
  10. Ministry of Health Singapore.
  11. J Public Health Epidemiol 2011;3(11):513-519.
  12. A descriptive study on prescription audit in India – a review. Indo Am J Pharma Sci 2015;2(3):641-647.
  13. Assessment of legibility and completeness of handwritten and electronic prescriptions. Saudi Pharm J 2014 Dec;26(6):522-527.
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