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[Quality of medical order writing in general practice facilities (Sousse, Tunisia)].

作者信息

Ben Abdelaziz Ahmed, Gaha Khaled, Mhamdi Yamina, Gaha Rafika, Ghannem Hassen

机构信息

Service d'Epidémiologie et de Statistiques Médicales, Centre Hospitalo-Universitaire Farhat Hached de Sousse, Sousse, Tunisie.

出版信息

Therapie. 2005 Mar-Apr;60(2):117-23. doi: 10.2515/therapie:2005016.

DOI:10.2515/therapie:2005016
PMID:15969314
Abstract

BACKGROUND

A medical order is a medical and legal document; careful writing of this document enables the reduction of many therapeutic errors.

OBJECTIVE

The objective of this study was to evaluate the quality of order writing in Tunisian primary healthcare centres.

METHODS

This was a transversal descriptive survey of 2586 medical orders. The quality of the writing was assessed using two parameters: its legibility and the information delivered in it.

RESULTS

Among the main results, 36% of orders contained at least 50% of the items retained, 25% of orders were completely illegible, and the quality of writing was considered good in 14% of cases.

DISCUSSION

The study showed that hand-written orders in primary healthcare are far from complying with the medico-legal requirements. The teaching of order-writing technique and its computerisation are needed to improve the quality of medical prescribing.

摘要

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