DOI: https://doi.org/10.22263/2312-4156.2016.4.99
Petrishche T.L., Glushanko V.S., Kugach V.V., Malakhova P.S.
Inaccuracies and errors in doctor’s prescriptions and the ways of their reduction
Educational Establishment «Vitebsk State Order of Peoples’ Friendship Medical University», Vitebsk, Republic of Belarus
Vestnik VGMU. 2016;15(4):99-107.
Abstract.
The present work is dedicated to the characteristic of errors in doctor’s prescriptions and the ways of their prevention. It has been shown that 44% of prescriptions, received at the chemist’s shop №32 of the city of Vitebsk and the VSMU chemist’s during the period from February to May 2016, were written out with errors and inaccuracies. The wrong indication of the prescription validity term, illegible handwriting of a doctor, absence of the date of its writing out and the way of medication use as well as the stamp of a public health institution, wrong medication dosage occurred in these prescriptions. Sometimes there were also no data concerning a doctor and a patient, etc. The survey of 100 pharmaceutists has demonstrated that practically every day chemist’s shops receive doctor’s prescriptions in which the time of medication intake is not indicated (51% of respondents); the prescription validity term either lacks or is indicated in a wrong way (48%); medication’s name is put down in an illegible handwriting (46%). Approximately once a week incompatibility of the amount of medication doses (37%) and medication form (23%) occurs. 20% of respondents met in their practice forged prescriptions. Due to inaccuracies and errors in doctor’s prescriptions 93% of respondents had to refuse to sell medications to their customers. 89% of respondents pointed out that this resulted in conflicts with chemist’s shop visitors. To decrease the number of improperly written out prescriptions respondents propose to precipitate the introduction of an electronic prescription into practice, computerization of doctor’s working place and his/her load reduction, improvement of the pharmacies information processes.
Key words: prescription, medication, pharmacy, errors, inaccuracies.
References
1. Ob utverzhdenii Nadlezhashchei aptechnoi praktiki [About the adoption of Appropriate pharmaceutical practice]: postanovlenie Ministerstva zdravookhraneniia Resp. Belarus' ot 27 dek. 2006 g. № 120 (v red. postanovlenii Minzdrava ot 31.10.2007 № 99, ot 31.10.2008 № 181, ot 28.02.2012 № 10, ot 21.03.2014 № 17, ot 09.09.2014 № 66, ot 20.05.2015 № 73, ot 04.02.2016 № 9) [Elektronnyi resurs]. Farmatsiia: viteb torgovo-proizv resp unitar predpriiatie: [sait]. Rezhim dostupa: http://pharmacia.by/ru/documentatoin.html. Data dostupa: 09.09.2016.
2. O primenenii otdel’nykh polozhenii i norm zakonodatel’stva ob obrashchenii lekarstvennykh sredstv [About use of separate provisions and standards of the legislation on drug circulation]: pis’mo M-va zdravookhraneniia Resp Belarus’ ot 14.12.2015 g. № 12-2-06/828-1363.
3. Kevra MK. Retsept vracha: vchera, segodnia, zavtra [Prescription of the doctor: yesterday, today, tomorrow]. Zdravookhranenie. 2013;(3):37-45.
4. Perov S. «Vrachebnaia oshibka» vne zakona… [«Medical error» beyond the law…] [Elektronnyi resurs]. Pravo.ru: [sait]. Rezhim dostupa: http://www.pravo.ru/review/view/14897. Data dostupa: 26.07.2016.
5. Kuzmina AK, Asetskaya IL, Zyryanov SK, Polivanov VA. Oshibki primeneniia lekarstvennykh preparatov: sovremennoe sostoianie problemy [Errors of use of medicinal preparations: current state of a problem]. Lecheb Delo. 2015;(3):17-27.
6. Falko O. Strogo po retseptu: komu pomogut novye pravila? [Strictly according to the prescription: who will be helped by new rules?] [Elektronnyi resurs]. Pharmanet.ua: [sait]. Rezhim dostupa: http://pharma.net.ua/publications/articles/13620-strogo-po-receptu-komu-pomogut-novye-pravila. Data dostupa: 26.07.2016.
7. Metodicheskie rekomendatsii po ispravleniiu oshibok v naznachenii, vypiske i otpuske lekarstvennykh sredstv, vyiavlennykh po rezul’tatam mediko-ekonomicheskogo kontrolia za naznacheniem i obespecheniem lekarstvennykh sredstv otdel’nykh kategorii grazhdan [Methodical references on correcting of mistakes in appointment, an extract and a holiday of the medicines taped by results of medico-economic control of appointment and providing medicines of separate categories of citizens] [Elektronnyi resurs]. Territorial’nyi fond obiazatel’nogo meditsinskogo strakhovaniia Kemerovskoi oblasti: [sait]. Rezhim dostupa: http://site.kemoms.ru/default.aspx?id=1046. Data dostupa: 29.07.2016.
8. Rabotniki aptek zhaluiutsia, chto vrachi nepravil'no vypisyvaiut retsepty [Workers of drugstores complain that doctors incorrectly write out prescriptions] [Elektronnyi resurs]. Doktor Piter: peterburg sait o zdorov'e. Rezhim dostupa: http://doctorpiter.ru/articles/8577/. Data dostupa: 29.07.2016.
9. Elektronnyi retsept: kak eto rabotaet [Electron prescription: as it works] [Elektronnyi resurs]. Katrenstil': [sait]. Rezhim dostupa: http://www.katrenstyle.ru/articles/journal/goods_sales/elektronnyiy_retsept_kak_eto_rabotaet. Data dostupa: 26.07.2016.
10. Troina SG, Kugach VV, Petrishche TL, Goncharova PV. Novye formy lekarstvennogo obsluzhivaniia patsientov [New forms of medicinal service of patients] [Elektronnyi resurs]. Gerontologiia. 2014;(2). Rezhim dostupa: http://gerontology.esrae.ru/ru/6-75. Data dostupa: 01.08.2016.
11. Kugach VV. Lekarstvennoe obespechenie naseleniia Avstralii [Provision of medicines of the population of Australia]. Retsept. 2013;(1):16-23.
12. Zverko IE. Obshchaia kharakteristika pilotnogo proekta «Razrabotka i vnedrenie tekhnologii obrashcheniia «Elektronnogo retsepta» [General characteristic of the pilot project «Development and deployment of technology of the address «Of the electron prescription». Vestn Farmatsii. 2015;(4):18-21.
13. Kugach VV, Tarasova EN. Vozmozhnosti ispol'zovaniia komp'iuternykh informatsionnykh sistem pri realizatsii lekarstvennykh sredstv iz aptek [Possibilities of use of computer information systems at realization of medicines from drugstores]. Vestn Farmatsii. 2007;(2):33-39.
14. Kugach VV. Otdel'nye aspekty iuzhno-koreiskoi meditsiny i farmatsii [Separate aspects of South Korean medicine and pharmaceutics]. Retsept. 2013;(3):30-9.
15. Khoronko AT, Alkhovik OV, Romanovich OI. Oshibki, dopushchennye meditsinskimi rabotnikami pri vypisyvanii retseptov dlia ambulatornykh bol'nykh [The mistakes made by health workers at a discharging of prescriptions for ambulatories]. Vestn Farmatsii. 1999;(1-2):77-9.
16. Kugach VV, Ignatyeva EV, Dorofeeva TA, Prokhorova IV, Fidelman FI, Ignatovich NM, Voronetskaya IP, Pakhomov VV. O povyshenii kachestva farmatsevticheskoi pomoshchi [About improvement of quality of the pharmaceutical help]. Vestn Farmatsii. 2009;(1):5-12.
17. Sanzharevskiy II. Istoriia, metodologiia i tekhnika issledovaniia problem obshchestva i lichnosti v sotsiologii [History, methodology and technique of a research of problems of society and the person in sociology] [Elektronnyi resurs]. Izd 4-e ispr i dop. Tambov; 2012. Politicheskaia nauka: elektron khrestomatiia. Rezhim dostupa: http://www.read.virmk.ru/s/SANZ_SOC/g-0353.htm. Data dostupa: 26.07.2016.
18. Goncharova A. Vrachebnye oshibki na bumage [Medical errors on paper] [Elektronnyi resurs]. Moskovskie apteki: farmatsevt gazeta. 2016. 17 mai. Rezhim dostupa: http://mosapteki.ru/material/vrachebnye-oshibki-na-bumage-6934. Data dostupa: 29.07.2016.
Information about authors:
Petrishche T.L. – senior teacher of the Chair of Organization & Economy of Pharmacy with the course of the Faculty for Advanced Training & Retraning, Educational Establishment «Vitebsk State Order of Peoples’ Friendship Medical University»;
Glushanko V.S. – Doctor of Medical Sciences, professor of the Chair of Public Health & Health Service, Educational Establishment «Vitebsk State Order of Peoples’ Friendship Medical University»;
Kugach V.V. – Candidate of Pharmaceutical Sciences, associate professor of the Chair of Organization & Economy of Pharmacy with the course of the Faculty for Advanced Training & Retraning, Educational Establishment «Vitebsk State Order of Peoples’ Friendship Medical University»;
Malakhova P.S. – pharmaceutist – intern.
Correspondence address: Republic of Belarus, 210023, Vitebsk, 27 Frunze ave., Educational Establishment «Vitebsk State Order of Peoples’ Friendship Medical University», Chair of Organization & Economy of Pharmacy with the course of the Faculty for Advanced Training & Retraning. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Petrishche Tatyana L.
