Journal of Family & Community Medicine
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contact us Login 

Users Online: 625 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size

Year : 2008  |  Volume : 15  |  Issue : 2  |  Page : 51-56

Prescription non-conformities in primary care settings: How useful are guidelines

Department of Family & Community Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Correspondence Address:
Fahad A Al-Hussein
King Abdulaziz Medical City, National Guard Health Affairs, P.O. Box 22490, Riyadh 11426
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None

PMID: 23012167

Rights and PermissionsRights and Permissions

Background: Apart from having a negative impact on work flow in practice, prescription errors may pose a threat to patient safety. Such errors have been reported in the pharmaceutical services in spite of the clear guidelines issued by the parent organization. Objective: This study was to explore the degree of conformity to the prescribing guidelines at Primary Care level in the Saudi National Guard Health Affairs in Riyadh. Methods: Prescriptions were collected during audits done fortnightly through a simple random selection from a sampling frame of all prescriptions given within the period. Information about each prescription was entered in a database by the pharmacists and each prescription was classified according to its conformity to the guidelines. Information was presented on 330 prescriptions for eleven audits carried out from September 2004 to February 2005. Results: 87% of the prescriptions did not conform to the given guidelines. Less than 1% of the inconsistencies were potentially harmful to the patient, 77.8% had possible negative effect on the pharmacist's work, while 21.3% were unimportant. Patient information was deficient in 16.9% of cases, drug information in 49.6% and archiving/record information related non-conformities constituted 33.5%. Conclusions: Conformity to prescribing guidelines is quite low in spite of the significant input of resources by the parent organization. This burden on work flow, utilization of time and service delivery needs to be studied and addressed by ensuring that there are periodic audits in the work routines of primary health care, and a feedback given to the care providers.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded257    
    Comments [Add]    

Recommend this journal


Advertise | Sitemap | What's New | Feedback | Disclaimer
Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010