ASSESSING THE PRESCRIPTION PRACTICES: A FOCUS FOR MEDICAL EDUCATION AND PATIENT SAFETY ENHANCEMENT

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Naveed Afzal Khan
Liaqat Raza
Shafa Haider Sawal
Abdul Jalil Khan
Mushyyada Durrani
Afsheen Mahmood

Abstract

Objective: To assess the Prescription of medications in a healthcare facility according to the Minimum Service Delivery Standards (MSDS) of the Khyber Pakhtunkhwa Health Care Commission (KPHCC).


Methodology: A cross-sectional study was conducted at a tertiary care hospital in Peshawar. Records of prescriptions were collected at the pharmacy for two consecutive weeks in April 2023 (n=463 – all prescriptions). They were reviewed against the Ind 122 for medical orders of the Minimum Service Delivery Standards (MSDS) of the Khyber Pakhtunkhwa Health Care Commission (KPHCC). The pharmacist In-charge collaborated to assess the prescriptions.  Observations were entered into an Excel spreadsheet for analysis.


Results:  A total of 17 specialties were represented in the collected prescriptions. Differential diagnosis was missing from 83% of the prescriptions. The patient's age was noted in 93% of the prescriptions but weight was only noted in 39% of cases. Route of medication for administration was noted in 33% while dosage of medication was present in 100 percent of the cases.


Conclusion: Prioritizing patient safety in healthcare is crucial, and precise prescription writing is vital. Enhancing the training of healthcare professionals in prescription writing and their compliance with the guidelines is crucial to minimize the chance of medical errors. Noting the differential diagnosis is paramount for proper follow-up and audit of prescriptions.

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