A Retrospective Audit of Medication Prescribing Practices: A Quality Improvement Initiative
Canadian Pharmacists Conference ePoster Library. Cheng D. Jun 4, 2017; 176713
Ms. Doret Cheng
Ms. Doret Cheng
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Abstract
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Objectives
Adverse drug events due to medication errors can occur at the prescribing, dispensing, and administration levels of drug use and are considered preventable. Patient and medication safety initiatives in low-resource settings may face more barriers than in high-income countries. We aim to describe the prescribing practices (adherence to institutional and national practice guidelines, and missing components of orders) in a large acute care institution in Uganda.

Methods
A data collection tool was created to retrospectively audit the presence of all required components of a medication order and adherence to institutional and national clinical guidelines. An order was confirmed to have followed guidelines if it was legible, written using full generic names, and included all components of an order (i.e. drug, strength, dose, frequency, and duration of therapy). Data collection took place over 1 week and was completed by 3 pharmacy team members.

Results
Overall, 282 orders were assessed. Of these, 108 (38%) and 114 (41%) orders were adherent to institutional and national practice guidelines, respectively. The most common missing components of an order were duration of therapy (81%), followed by indication (34%), and frequency (7%).

Conclusion
This preliminary audit is part of a larger, interdisciplinary initiative led by the hospital's pharmacy department to improve pharmaceutical care and patient outcomes at a large acute care hospital in Uganda. The data collected from this study will inform the development of systems and interventions (e.g. implementation of antimicrobial stewardship principles, pre-printed order sets, etc.) to improve prescribing practices.

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