This presentation is based on only prescription error in bangladesh

1. PRESCRIPTION ERROR

2. DEFINIITON
• Prescription is a health-care plan written and
implemented by a physician or other medical
practitioner in the form of instructions that
govern the plan of treatment for an individual
patient with some specific instruction for
pharmacists

3. Parts of prescription
• Date
• The name, age and address of the patient
• The supercription
• The inscription
• The subcription
• The signature ,or the directions to the patient
• Directions for renewal
• Name and signature of the physician

4. Standard Prescription

5. Prescription Error
• A failure in the treatment process that leads
to, or has the potential to lead to, harm to the
patient.
• It is also called Medication error

6. Classification prescription errors
1. Knowledge based error (through lack of
knowledge)
2. Rule based error
3. Action based error(called slips)
4. Memory based error(called lapses)
5. Technical based error

7. PRESCRIBING ERRORS
Incorrect drug
selection for a
patient
Errors in
quantity,
indication
Prescribing of a
contraindicated
drug

8. CONTRIBUTING FACTORS INCLUDE:
• Illegible handwriting.
• Inaccurate medication history taking.
• Confusion with the drug name.
• Inappropriate use of decimal points. A zero
should
Always precede a decimal point (e.g. 0·1).
Use of a trailing zero (e.g. 1·0).
• Use of abbreviations (e.g. AZT has led to
confusion between zidovudine and
azathioprine).
• Use of verbal orders.

9. 9
Can you read this???
Neither can we!!!

10. 10
Always use leading zeros for decimal
points. The order should have read:
Digoxin 0.5 mg

11. Comparison

12. Risk factors for prescribing errors
Work environment
Workload
Communication within the team
Physical and mental well being
Lack of knowledge
Organizational factors such as
inadequate training
Low perceived importance of prescribing
An absence of self awareness of errors

13. Approaches for reducing
prescribing errors
• Electronic prescribing.
• Computerized physician order entry systems.
• Double checking of prescription.

14. Precautions of prescription error

15. Aim
• The frequency of drug prescription errors is
high in many countries of the world. The aim
of the present study was to indicate the
prescriptions errors collected from different
hospital

16. Result
Male Female
N 9 11
Parcentage 45 55
0
10
20
30
40
50
60
Gender Ratio

17. Telephone.of patient Gender age weight date
Number 2 6 13 4 20
Parcentage 10 30 65 20 100
0
20
40
60
80
100
120
Heading of the prescription

18. Rx symbol
administration
indication
Strength of medicine
Duration of
administration
Avriviationor full form Bad hand Writing
Number 1 5 16 15 9 11
Parcentage 5 25 80 75 45 55
0
10
20
30
40
50
60
70
80
90
Body of the prescription

22. A mistreatment

23. A mistreatment
• Waheda Akhter, 5, with her left leg and
forearm amputated, rests her head on her
mother’s shoulder at the orthopaedic
department of Chittagong Medical College
Hospital. Parents blame a mistreatment by
CMCH doctors ...The doctors that night
amputated her leg from a little over the ankle.
On September 27, 2015

24. A mistreatment
• .three days after the first surgery, the doctors
operated on her left hand too and amputated
the hand from above the relative of the patient,
said: “The girl had not received any injury to the
left hand. It was clearly mentioned in the
patient’s file when she was admitted to the
hospital; she had injury only to her left leg.”
• He squarely blamed the doctors for the gross
negligence and wrong treatment.

25. Conclusion
• This study is a small attempt to represent prescription errors .
From our study it is clear that prescription errors are highly
prevalent for outpatients in Bangladesh. Therefore the study
necessities the large scale research on prescribing errors in
different hospitals in order to get the actual scenario of
dhaka city. Besides, the study suggests the prescriber’s to be
more professional, cared, focused and concentrated during
prescription for the outpatients. Furthermore, the study urges
the inclusion of clinical and retail pharmacist to reduce the
prescription error of omissions in Bangladesh.

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