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Prescription audit in a pharmacy of a tertiary care hospital

Balakrishnan S

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: 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.

A doctor wrote Intal ( sodium cromoglycate ) for an asthmatic patient . The pharmacist read it as Inderal ( propranolol). The patient DIED.


Some facts : 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.

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.


?????? 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.


Methodology: 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.

WHO approved

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


Methodology: 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.

PROFORMA FOR PRESCRIPTION AUDIT MARCH 27-APRIL26 2009


  • Model Prescription 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.

  • Name: Jabez Raj 2)Date: 05.06.2009

  • 3) Age: 70yrs. 4) Sex: male

  • 5) Address: 20, III Cross, Eswaran koil st.

  • Pondicherry 605 002

  • 6) PIMS No: 0298298

  • 7) Diagnosis: Idiopathic Parkinsonism


Model Prescription 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.

8) Rx

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)


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