A DESCRIPTIVE STUDY ON PRESCRIPTION AUDIT IN INDIA-A REVIEW
Authors: Dr. Sirisha S**, Shibi Mary Thomas*, Anand Varghese, Rama Reddy, Benny Baby, Shreya P Gudur
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The main objective of the study is to verify whether the community based prescriptions were in accordance with the prescription guideline, and to see drug utilization pattern in INDIA.
This study involved the collection of data’s related to prescription guidelines and utilization of drugs in different areas of India which is reviewed and audited for drug utilization, poly-pharmacy and types of errors , physicianinformation, patient information, drug information and for the general content of the prescription.
A total of 11,555 prescriptions analyzed during the study period. Out of those prescriptions, 6,892 (23.01%) prescriptions analyzed for generic name, more than78 % prescriptions containing the brand names. 5659 prescriptions analyzed for polypharmacy; most of the studies have shown that poly pharmacy is common. The patient details were missing in 22% of prescriptions. Prescriber’s information’s are missed in more than 51%. In some prescription, drug details like dose, frequency are missing in more than 32% of prescriptions. Other details such as prescription date, diagnosis, special advice, legibility and abbreviations are around 30%.1593 prescriptions analyzed to see frequency of prescribing anti-microbials, in that 917 anti-microbials are prescribed. Rationality of prescribing drugs observed in the study of 19 prescriptions, 63.33% are found to be irrational. 33.06% prescribing pattern of fixed dose combinations are not rational. 21.90 % of antibiotics in many prescriptions are irrational.
Key Words: Prescription guideline, Audit, India, Pattern, brand name.