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Audit and Quality Assessment of Prescriptions in an Urban Health Centre of Kolkata

2016; Volume: 6; Issue: 3 Linguagem: Inglês

10.5530/ijmedph.2016.3.8

2230-8598

Mandal Sudarsan, Sitikantha Banerjee, Dasgupta Aparajita,

Pharmaceutical Economics and Policy

International Journal of Medicine and Public Health,2016,6,3,136-139.DOI:10.5530/ijmedph.2016.3.8Published:August 2016Type:Original ArticleAudit and Quality Assessment of Prescriptions in an Urban Health Centre of KolkataMandal Sudarsan, Banerjee Sitikantha, and Dasgupta Aparajita Mandal Sudarsan1, Banerjee Sitikantha2*, Dasgupta Aparajita3 1Additional Director, All India Institute of Hygiene and Public Health, Chittaranjan Avenue, Kolkata, INDIA. 2Junior resident , Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Chittaranjan Avenue, Kolkata, INDIA. 3Director professior and Head, Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Chittaranjan Avenue, Kolkata, INDIA. Abstract:Introduction: Assessment of drug use pattern using the World Health Organization (WHO) drug use indicators is a vital step to promote rational drug usage. The objective of the study was to assess the prescription format and adherence to WHO core prescribing indicators in urban health centre, Chetla. Methods: A descriptive, cross-sectional study was conducted to determine the current prescribing practices at Urban Health Centre, Chetla. Total 360 new prescriptions prescribed by doctors at outpatient department (OPD) were selected on 2 working days per week for a period of 3 weeks, i.e. total 6 working days using census method. Results: The average number of drugs prescribed per encounter or mean was 2.14(SD 1.058) and the percentage of prescriptions with an antibiotic or injection was 39.4% and 8.6% respectively. The percentage of drugs prescribed by generic name and from an essential drug list was 69.3% and 85.5% respectively. Prescriptions prescribed with fixed dose combination were 46.5% and out of which 87% was approved by drug standard control organization, Govt. of India. Complete diagnoses in the prescriptions were written in 7.2% prescriptions only. Conclusion: On the basis of the finding of this study, the prescribing practices for antibiotic showed deviation from the standard recommended by WHO. Drug use evaluation should be done for some of the antibiotics to check whether they were appropriately prescribed or not. On the other hand, polypharmacy, generic prescribing and prescribing from EDL were also not as per WHO standard. Keywords:Audit, Core prescribing indicators, Drugs by generic name, Essential drug, Fixed dose combination, list, OPDView:PDF (132.01 KB)