Abstract
Purpose: To evaluate the prescription errors and their contributory factors in Punjab, Pakistan.Methods: An observational, cross-sectional study was conducted in 12 major cities of Punjab, Pakistan. A total of 1,184 prescriptions were collected from patients using a convenient sampling method from homes, pharmacies, clinics, and hospitals. The data were presented in frequency and percentage using descriptive statistics. To determine the association between the variables assessed, Chi-square (X2) test was used.Results: A total of 1,184 prescriptions were analyzed; 432 of them (36.5 %) were from prescribers who are graduate degree holders, and 752 (63.5 %) from prescribers who are post-graduate degree holders. The most commonly missing parameters in the prescriptions were the age of the patients (835 representing 29.4 %), signatures of the prescribers (755 representing 26.5 %), and prefix (622 representing 21.9 %). The number of prescription errors was significantly correlated to prescriber qualification (p = 0.001). The prescription errors were more common in age groups of prescribers: 21 - 30 years (654 representing 23.0 %), and 31 - 40 years (1,012 representing 35.6 %) (p = 0.001). The higher number of prescription errors by post-graduate prescribers working in teaching hospitals can be attributed to the higher patient load and lack of continuing medical education programs for the prescribers.Conclusion: The government should take necessary measures for the implementation of electronic prescribing systems, and devise mechanisms for the uniform distribution of patient load amongst the prescribers working in different hospitals.
 Keywords: Prescription error, Prescribers, Patient load, Continuing medical education, Electronic prescribing
Highlights
METHODSPrescription writing is a science and art which provides information regarding medication use to the patient, and it is the responsibility of the prescriber [1]
The present study revealed that the incidence of prescription errors was more common in teaching hospitals (472 representing 39.9 %), as compared to District Headquarter Hospital (DHQ) (329 representing 27.8 %), and private hospitals (355 representing 30.0 %)
The findings of this study reveal that there is a higher degree of prescription errors in the most populous province of Pakistan (Punjab)
Summary
METHODSPrescription writing is a science and art which provides information regarding medication use to the patient, and it is the responsibility of the prescriber [1]. A prescription is a signed medical order which has the instructions to the pharmacist by the prescriber on how to supply the prescribed drugs to the specific patients. It is a medico-legal document that is written completely, precisely, and legally [2]. The error of omission represents incomplete prescriptions like missing patient information, incomplete instruction regarding dosage, dosage form, and illegible prescription (difficult to read because of bad handwriting). The error of commission comprises wrong information regarding the drug or patient, which includes wrong drug, wrong route, dosage form or strength [6,7]
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