Authors : Bhatt Kamalesh Maheshbhai , Butani Noopur Jamnadas , Balat Jayesh Dineshchandra
Volume : 15
Issue : 5
Year : 2023
Page No : 1087-1095
Abstract Introduction: This study aimed to analyze prescriptions and generate information on core prescribing indicators proposed by the World Health Organization (WHO). The objectives were to identify frequently prescribed drugs, understand the morbidity pattern, and propose measures to improve prescription practices. The study was conducted in a tertiary care hospital attached to a teaching hospital. Materials and Methods: Prescriptions were collected from the outpatient department (OPD) by photographing them at the dispensing window of the hospital pharmacy. A Case Record Form was used to collect relevant information, including OPD number, department, age, diagnosis, system involved, drugs, dosage, frequency, duration of treatment, and route of administration. The collected data were assessed using WHO core prescribing indicators. Results: The average number of drugs per prescription was found to be 3.54. Approximately 72.95% of the prescribed drugs were prescribed using generic names, indicating a favorable practice. About 3.01% of the prescribed drugs were in combination form, suggesting the use of fixed dose combinations. Around 6.69% of the prescriptions contained at least one injection, and 25.80% of the prescriptions included at least one antibiotic. Notably, in 50.01% of the prescriptions, a vitamin or tonic was prescribed. Additionally, approximately 97.76% of the prescribed drugs were in accordance with the Central Medical Stores Organization Gujarat State Essential Drug List for the year 2021-22. Conclusions: The findings of this study emphasize the importance of prescription audit and continuous evaluation of prescribing practices in order to enhance the quality of care provided by hospitals. The analysis of prescription patterns and adherence to core prescribing indicators provides valuable insights into prescription practices and treatment preferences. The study underscores the need for rational prescribing, including the use of generic names, minimizing polypharmacy, and ensuring appropriate use of antibiotics. These measures can optimize patient outcomes, reduce healthcare costs, and improve patient safety. Efforts to improve prescription practices should be an integral part of healthcare systems to provide high-quality and cost-effective care.