Publication:

Impact of hands-on training of prescription writing on quality of prescription: a cross-sectional study

Background Prescription writing assessment is considered an important parameter to ensure rational drug use. Prescription errors can result from an individual as well as system-related factors. A systematic analysis of prescriptions can detect these errors through the prescription audit. Proper training can change the quality of prescription. This study aims to determine the impact of such training on quality of prescription.

Methods A cross-sectional study was conducted to assess the impact of training. Initially baseline data was collected of all prescriptions prescribed at Rural Health Training Center in terms of completeness and quality writing of prescription. This data collection was followed by hands-on training of interns and repeat audit was with prescription of subsequent quarters. To assess the impact of training on prescription writing practices, training session organized for the inters posted at the RHTC.

Results Improvement was evident in both parameters of prescription writing, completeness of writing as well as quality of prescription. Few striking points of prescription completeness like writing down systemic examination (p = <0.00001, Z = -18.814) and mentioning patient’s allergy status (p = <0.00001, Z = -6.125). Improvement also seen in quality of prescription like writing generic name of drugs (p = <0.00001, Z = -11.123) and handwriting (p = <0.00001, Z = -6.022).

Conclusion Regular training to the staff about the prescription writing may help to overcome irrational prescribing of the drugs and antibiotics.