PRESCRIPTION ERRORS IN THE DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY: A CROSS-SECTIONAL, OBSERVATIONAL STUDY

Authors

  • Anusha Natarajan Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)
  • Rohith V
  • Isabella Topno

Abstract

ABSTRACT
Objective:  Prescription writing is an art. Writing a correct prescription in compliance with the WHO guidelines requires regular practice. Mistakes
in prescription writing are inevitable. Hence, this study was done to analyze the prescriptions from the Outpatient Department of Obstetrics and
Gynaecology for errors. To analyze the prevalence and types of common prescribing errors in the Outpatient Department of Obstetrics and Gynaecology.
Methods:  This cross-sectional study was conducted in the Department of Pharmacy, Pondicherry Institute of Medical Sciences, Puducherry. 500
prescriptions from the Obstetrics and Gynaecology Outpatient Department were collected and analyzed. The study duration was 6 months (JulyDecember
2014). The prescriptions
were
analyzed
for
errors.
Results: Our study revealed that 30.8% of the prescriptions had, at least, one error in them. The majority of the prescriptions had the doctors' sign
and patient details written in them. The dose of the drug was missing in about 38% of the prescriptions. None of the prescriptions had Type A error
in our study.
Conclusion: It was found that prescription errors are still prevalent. The prescribers' have to be updated about the prescribing guidelines and regular
auditing should be done to avoid these errors.
Keywords: Prescription errors, Obstetrics and gynaecology, Classification of errors.

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Author Biography

Anusha Natarajan, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)

Senior Resident

Department of Pharmacology

References

REFERENCES

Mehta RK. Prescription. Dispensing Pharmacy. 1

Prakashan; 2000. p. 7.

st

ed. Delhi: Vallabh

Barker KN, McConnell WE. How to detect medication errors. Mod

Hosp 1962;99:95-106.

Leape LL. Reporting of adverse events. N Engl J Med

;347(20):1633-8.

About the National Reporting and Learning Service. National Patient

Safety Agency. Available from: http://www.nrls.npsa.nhs.uk/about-us/.

[Last accessed on 2015 Dec 12].

Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann

Intern Med 2002;137(2):110-6.

Sandars J, Esmail A. The frequency and nature of medical error in

primary care: Understanding the diversity across studies. Fam Pract

;20(3):231-6.

Cousins DH, Sabatier B, Begue D, Schmitt C, Hoppe-Tichy T.

Medication errors in intravenous drug preparation and administration:

A multicentre audit in the UK, Germany and France. Qual Saf Health

Care 2005;14(3):190-5.

Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG,

et al. Incidence of adverse events and negligence in hospitalized

patients. Results of the Harvard Medical Practice Study I. N Engl J

Med 1991;324(6):370-6.

Leape LL. Error in medicine. J Am Med Assoc 1994;272:1851-7.

Johnson JA, Bootman JL. Drug-related morbidity and mortality. A cost-

of-illness model. Arch Intern Med 1995;155(18):1949-56.

Rochon PA, Gurwitz JH. Drug therapy. Lancet 1995;346:32-6.

Vincent C, Neale G, Woloshynowych M. Adverse events in

British hospitals: Preliminary retrospective record review. BMJ

;322:517-9.

Vincent C, Taylor-Adams S, Chapman EJ, Hewett D, Prior S, Strange P,

et al. How to investigate and analyze clinical incidents: Clinical risk

unit and association of litigation and risk management protocol. Br Med

J 2000;320:777-81.

United States Pharmacopoeia. The Standard. Rockville, Maryland, U.S.

Pharmacopoeia; 1995.

Neville RG, Robertson F, Livingstone S, Crombie IK. A classification

of prescription errors. J R Coll Gen Pract 1989;39(320):110-2.

Dean B, Barber N, Schachter M. What is a prescribing error? Qual

Health Care 2000;9:232-7.

Mortazavi SA, Hajebi G. An investigation on the nature and extent of

occurrence of errors of commission in hospital prescriptions. Iran J

Pharm Res 2003;2003:83-7.

Institute of Safe Medication Practices, ISMP’s List of Error Prone

Abbreviations, Symbols and Dose Designations, 2010. Available from:

http://www.ismp.org/tools/errorproneabbreviations.pdf. [Last accessed

on 2015 Dec 23].

The National Coordinating Council for Medication Error Reporting

and Prevention, Recommendations to Correct Error Prone Aspects of

Prescription Writing. June; 2005.

Available from: http://www.nccmerp.org/council/council1996-09-04.

html. [Last accessed on 2015 Dec 23].

Khoja T, Neyaz Y, Qureshi NA, Magzoub MA, Haycox A, Walley T.

Medication errors in primary care in Riyadh City, Saudi Arabia. East

Mediterr Health J 2011;17(2):156-9.

Sapkota S, Pudasaini N, Singh C, Sagar G. Drug prescribing pattern and

prescription error in elderly: A retrospective study of inpatient record.

Asian J Pharm Clin Res 2011;4(3):129-32.

Nesar S, Harris Shoaib M, Rahim N, Iffat W, Shakeel S, Bibi R.

Prescription writing practices and errors in prescriptions containing

cardiovascular drugs especially ACE inhibitors in Karachi, Pakistan.

Asian J Pharm Clin Res 2015;8(4):53-5.

Rekha B, Saurabh B. Evaluation of prevalence of medication errors in a

multispecialty teaching hospital, Dehradun (Uttarakhand), India. Indian

J Pharm Pract 2013;6(1):19-24.

Poudel R, Piryani R, Shrestha S, Prajapati A, Adhikari B. Prescription

errors and pharmacist intervention at outpatient pharmacy of Chitwan

Medical College. J Chitwan Med Coll 2015;5(2):20-4.

Ather A, Neelkantreddy P, Anand G, Manjunath G, Vishwanath J,

Riyaz M. A study on determination of prescription writing errors in outpatient

Department

of

Medicine in

a

Teaching

Hospital.

Indian

J

Pharm

Pract

;6(2):21-4.

Avery AJ, Sheikh A, Hurwitz B, Smeaton L, Chen YF, Howard R,

et al. Safer medicines management in primary care. Br J Gen Pract

;52 Suppl: S17-22.

Published

01-03-2016

How to Cite

Natarajan, A., R. V, and I. Topno. “PRESCRIPTION ERRORS IN THE DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY: A CROSS-SECTIONAL, OBSERVATIONAL STUDY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 9, no. 2, Mar. 2016, pp. 233-5, https://journals.innovareacademics.in/index.php/ajpcr/article/view/10504.

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