Makonnen Eyasu, Yoseph Maria, Berhane Yemane
Department of Pharmacology, Faculty of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Ethiop Med J. 2002 Jul;40(3):233-9.
The practice of prescribing is one of the critical factors that ensure safety and rational use of drugs. The objective of this study was to describe the quality of prescription in terms of format, legibility and content. The study was carried out in Tikur Anbessa Hospital outpatient pharmacy. All prescriptions that came to the hospital pharmacy over one week period were collected and analyzed. A total of 2191 prescriptions were received by the hospital pharmacy. Only few of the prescriptions had complete information. In about 50% of the prescriptions sex and age were not recorded. On average 15% of the prescriptions were not eligible. Only 13% of the prescriptions received during weekdays, and 8.5% of those received during weekends were scored as good (more than 5 variables out of 8 assessed were rated good). There was no significant difference in the quality between the prescriptions received from Tikur Anbessa hospital and other health institutions. Furthermore, weekday prescriptions were better in quality as compared to weekend prescriptions without considerable difference between day and night shifts. These findings indicate that considerable proportion of prescriptions are not properly written. Since Tikur Anbessa is a teaching center, immediate action needs to be taken to improve the practice of prescription writing.
处方开具行为是确保药物安全合理使用的关键因素之一。本研究的目的是从格式、易读性和内容方面描述处方质量。该研究在提库尔·安贝萨医院门诊药房开展。收集并分析了在一周时间内送至医院药房的所有处方。医院药房共收到2191张处方。只有少数处方信息完整。约50%的处方未记录性别和年龄。平均15%的处方不合格。工作日收到的处方中只有13%被评为良好(在评估的8项变量中有超过5项被评为良好),周末收到的处方中这一比例为8.5%。从提库尔·安贝萨医院收到的处方与从其他医疗机构收到的处方在质量上没有显著差异。此外,工作日处方质量优于周末处方,白班和夜班之间没有显著差异。这些发现表明相当一部分处方书写不当。由于提库尔·安贝萨是一个教学中心,需要立即采取行动改善处方书写行为。