Prescription audit in a pharmacy of a tertiary care hospital Balakrishnan S Department of Pharmacology.
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Prescription audit in a pharmacy of a tertiary care hospital
Department of Pharmacology
“Doctors who seek to exculpate themselves from serious, even fatal, prescribing errors by appealing to undoubted difficulties presented by the information explosion of modern times, allied to pressures of work, are unlikely to get sympathy, and increasingly are more likely to be told, ‘if you can’t stand the heat, get out of the kitchen’ ( a dictum attributed to Harry S Truman, US president 1948 – 52, though he assigns it to US Army General Harry Vaughn).”
Pharmacists and nurses stand ready and willing to relieve doctors of the burden of prescribing.
A 62 – year old man requiring a metered dose inhaler ( for the first time ) was told to ‘” spray the medicine to the to the throat” . He was found to have been conscientiously aiming & firing the aerosol to his anterior neck around the thyroid cartilage , four times a day for two weeks.
Accuracy includes legibility:
A doctor wrote Intal ( sodium cromoglycate ) for an asthmatic patient . The pharmacist read it as Inderal ( propranolol). The patient DIED.
Some facts :
Medical errors kill an estimated 44.000 – 98,000
Americans & injure 10,00,000:
1st surgical mishaps
2nd therapeutic mishaps & diagnostic errors.
20 – 25 % of litigations are following medication errors.
Random prescription audit from 10 AM to 11 AM in OPD pharmacy.
Duration: March 27 to April 26, 2009
Total number of prescriptions collected: 516
PROFORMA FOR PRESCRIPTION AUDIT MARCH 27-APRIL26 2009
9) Tab Levodopa 100mg
Tab Carbidopa 25mg
10) Dispense 100 combination tablets
11) Take 2 tablets by mouth3 times daily with breakfast, lunch and dinner. Take with food.
12) Dr. Sathya MD
13) Assistant Prof. Neurology,
14) PIMS, Pondicherry 605 014
15) Ph: 0413-2207654
16) Reg. No. 34523
17) (TN medical council)