An Assessment of Rational Drug Use and Evaluation of Medication Errors in Public Sector Hospitals

نویسندگان

  • Syed Umer Jan
  • Rahman Gul
  • Syed Hazrat Ali
  • Attaullah Shah
  • Muhammad Akhtar
چکیده

Objectives: The objective of this study was to assess the prescription pattern by Medical practitioners and to analyze the types of medication errors observed in public sector Hospitals. Methods: Trainee Pharmacists during internship in my supervision were assigned to examine the prescriptions for drug prescription patterns as well as the same prescriptions and patients were examined for medication errors in three public sector hospitals in the city using a check list and patients’ interviews. The results were collected from 2400 prescriptions/patients. The study period was from July, 1 st 2014 to September, 10 th 2014.Results: The results showed that, the average consultation and dispensing time was very short (4 Minutes). The mean number of drugs per prescription was 5. The percentages of prescriptions with antibiotics, analgesics, steroids and injections were 88%, 64%, 13% and 12% respectively. Further, we have observed 1012 medication errors out of 2400 only in drug administration. In each category the medication errors were omission: 391(38.6%), time: 405(40%), unauthorized drug: 84(8.3%), wrong rate: 71(7%), wrong route: 41(4.1%) and wrong dosage form: 20(2%). Conclusion: We recommend that efforts should be made to improve rational drug use practices in Hospitals. Regular training programs should be organized for health care professionals to promote the concept and practice of rational drug use and to overcome these types of medication errors which lead to about 40% accidents and incidents in drug administration.

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تاریخ انتشار 2016