巴基斯坦白沙瓦私人诊所处方错误和用药指标评估。
Evaluation of prescription errors and prescribing indicators in the private practices in Bahawalpur, Pakistan.
机构信息
Department of Pharmacy, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
Department of Pharmacy, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
出版信息
J Chin Med Assoc. 2018 May;81(5):444-449. doi: 10.1016/j.jcma.2017.12.002. Epub 2018 Mar 13.
BACKGROUND
Appropriate use of medicines is important to provide quality health. The aim of this study was to assess the prescribing practices and prescription errors in the private clinic practices of Bahawalpur, Pakistan.
METHODS
A cross-sectional observational study was performed in March 2015 to assess the prescribing practices and prescription errors in the private clinical practices of Bahawalpur, Pakistan. We used the standard World Health Organization (WHO) methodology to achieve the study objectives. A convenience sampling technique was used to collect the prescriptions from five community pharmacies.
RESULTS
A total of 300 prescriptions were collected. Among the prescribing indicators, the average number of drugs per encounter was 4.5, 23.3% of drugs were prescribed by generic name, 39.6% of encounters resulted in the prescription of antibiotics, in 19% of encounters injections were prescribed and 54.5% of the drugs prescribed were from the Essential Drugs List. A total of 1218 omissions, 510 commissions and 199 drug interaction-related errors were recorded.
CONCLUSION
Irrational prescribing of medicines and low compliance with the standards of prescription writing were observed in the private clinical practices of Bahawalpur.
背景
合理用药对于提供高质量的卫生服务至关重要。本研究旨在评估巴基斯坦巴哈瓦尔布尔私人诊所的处方实践和处方错误。
方法
2015 年 3 月进行了一项横断面观察性研究，以评估巴基斯坦巴哈瓦尔布尔私人临床实践中的处方实践和处方错误。我们使用世界卫生组织（WHO）的标准方法来实现研究目标。采用便利抽样技术从五家社区药店收集处方。
结果
共收集了 300 张处方。在开方指标方面，每次就诊的平均用药数为 4.5 种，23.3%的药物按通用名开方，39.6%的就诊处方开了抗生素，19%的就诊处方开了注射剂，54.5%的处方药物来自基本药物清单。共记录了 1218 项遗漏、510 项医嘱和 199 项药物相互作用相关的错误。
结论
在巴哈瓦尔布尔的私人临床实践中，存在不合理的药物开具和低标准的处方书写。
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