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处方书写质量洞察——一项机构研究

Insight Into Quality of Prescription Writing - An Instituitional Study.

作者信息

Dyasanoor Sujatha, Urooge Ayeesha

机构信息

Professor, Department of Oral Medicine and Radiology, The Oxford Dental College and Hospital , Bangalore, India .

Postgraduate Student, Department of Oral Medicine and Radiology, The Oxford Dental College and Hospital , Bangalore, India .

出版信息

J Clin Diagn Res. 2016 Mar;10(3):ZC61-4. doi: 10.7860/JCDR/2016/18011.7472. Epub 2016 Mar 1.

Abstract

INTRODUCTION

Prescription writing is an important task performed by a doctor during patient management. Prescription refers to written instructions given to a patient regarding medications. Lack of attention during prescription writing can lead to prescription errors which in turn can adversely affect patients' well-being. Thus, prescriptions are an important target area for improvement.

AIM

The purpose of the present study was to analyze the quality of prescriptions dispensed by the students of The Oxford Dental College and Hospital, Bangalore and to compare the prescription writing patterns amongst undergraduates, interns and postgraduates of this institution.

MATERIALS AND METHODS

A cross-sectional study was conducted on 500 randomly selected prescriptions dispensed by the students of The Oxford Dental College and Hospital, Bangalore, India. All the prescriptions were analyzed for the presence of (a) Patient's information: Out-Patient file number, name, age, gender, address and contact number (b) Doctors information: Full name, department name, qualification, contact details, date of prescription, superscription, and signature (c) Drug information: Name, strength, dosage form, dosage instructions, duration and total quantity. Each prescription was further categorized into groups A, B, C or D, depending on the scores obtained. Prescription quality was then compared between the undergraduates, interns and postgraduates.

RESULTS

Analysis of prescriptions performed using Chi-square test showed that groups A, B, C and D had 12 (2%), 155 (31%), 333 (67%) and 0 (0%) students respectively. Association between the groups and qualifications showed statistically significant results (p<0.05). Undergraduate prescriptions were better written in comparison to interns and postgraduates.

CONCLUSION

Findings of the current study demonstrate the need for further improvement in the quality of prescription writing by students of The Oxford Dental College and Hospital, Bangalore, India.

摘要

引言

开处方是医生在患者管理过程中执行的一项重要任务。处方是指给予患者关于药物的书面指示。开处方时缺乏注意力会导致处方错误,进而对患者的健康产生不利影响。因此,处方是一个重要的需要改进的领域。

目的

本研究的目的是分析班加罗尔牛津牙科学院和医院学生所开处方的质量,并比较该机构本科生、实习生和研究生的处方书写模式。

材料与方法

对印度班加罗尔牛津牙科学院和医院学生随机开出的500份处方进行了横断面研究。分析所有处方是否存在以下内容:(a) 患者信息:门诊病历号、姓名、年龄、性别、地址和联系电话;(b) 医生信息:全名、科室名称、资质、联系方式、处方日期、标题和签名;(c) 药物信息:名称、强度、剂型、用药说明、疗程和总量。根据所得分数,每份处方进一步分为A、B、C或D组。然后比较本科生、实习生和研究生之间的处方质量。

结果

使用卡方检验进行的处方分析表明,A、B、C和D组分别有12名(2%)、155名(31%)、333名(67%)和0名(0%)学生。组与资质之间的关联显示出具有统计学意义的结果(p<0.05)。与实习生和研究生相比,本科生的处方书写得更好。

结论

本研究结果表明,印度班加罗尔牛津牙科学院和医院的学生在处方书写质量方面需要进一步改进。

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