ARTS AND SCIENCE OF PRESCRIBING


ARTS AND SCIENCE OF PRESCRIBING


AK MOHIUDDIN
Assistant Professor, faculty of Pharmacy, World University of Bangladesh


 International Journal of Hospital Pharmacy

Prescribing patient is a mammoth task. It is recommended that healthcare professionals who prescribe medications exercise critical thinking skills to ensure the safe and effective use of therapeutic agents. It should be endowed with communication skills, diagnostic skills, knowledge of medicines, an understanding of the principles of clinical methodology, consecutive risk and uncertainty. In fact, clinicians prescribe in varied situations, often in the absence of patient, and rational prescribing decisions must be based on knowledge interpreted in the light of many other factors.
Purpose of the study: Discussion and projection of drug prescribing among patients of both acute and chronic care. The pharmacists have a vital role to play which is thoroughly discussed.
Findings: Prescribing is not just a piece giving patient a piece of paper and advising him to follow instructions. Many factors and necessary considerations are lying beneath.
Materials and Methods: Research conducted a comprehensive year-round literature search, which included books, technical newsletters, newspapers, journals, and many other sources. Medicine and technical experts, pharma company executives and representatives were interviewed. Projections were based on estimates such as drug end users, providers or prescribers, general theories of rational use, implication and types of different prescribing methods.
Research limitations: Very few articles found in matters regarding along with a very less interest paid by general people to talk about medicine use, prescription, pharmacists in counseling therapy, ADRs and their management. It was very difficult to bring out facts of irrational prescribing or different prescribing policy by the providers cause prescription holding patients rarely co-operates in this.
Practical Implication: A good prescribing is the soul of patient compliance and safety along with well-being after a period of illness. Along with students, researchers and professionals of different background and disciplines, e.g. Pharmacists, doctors, nurses, hospital authorities, public representatives, policy makers and regulatory authorities have to acquire much from this article.
Social Implication: Along with healthcare facilities, patient compliance the soul of healthcare system where prerequisite is rational and appropriate prescribing. The article should contribute an integrated guideline for prescribing manner, pharmacist’s role in rational prescribing and conveying necessary steps forward.


Keywords: ADE, Patient package inserts (PPIs), Dosage Regimen, Patient Communication, Prescribing Errors


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How to cite this article:
AK MOHIUDDIN, ARTS AND SCIENCE OF PRESCRIBING.International Journal of Hospital Pharmacy, 2019,4:18.


References:

1. Catherine E Cooke Brian Isetts Thomas E Sullivan Maren Fustgaard Daniel A Belletti Potential value of electronic prescribing in health economic and outcomes research Patient Related Outcome Measures 2010:1 DOI: 10.2147/PROM.S13033
2. Cuzzolin L, Atzei A, Fanos V. Off-label and unlicensed prescribing for newborns and children in dif-ferent settings: a review of the literature and a consideration about drug safety. Expert Opin Drug Saf. 2006 Sep;5(5):703-18. PMID: 16907660 DOI:10.1517/14740338.5.5.703
3. Clinical Governance Framework for Pharmacist Prescribers and organizations commissioning or par-ticipating in pharmacist prescribing Royal Society of Great Britain URL: https://www.palliativedrugs.com/download/clincgovframeworkpharm.pdf
4. Department of Health, Supplementary Prescribing by Nurses, Pharmacists, Chiropodists/Podiatrists, Physiotherapists and Radiographers within the NHS in England
5. A guide for implementation Updated May 2005 URL: http://www.rosalieboyce.com.au/Alison-Hogg-papers/DH_supp_prescribing.pdf
6. FDA User Guide Communicating Risk Benefits: An Evidence based User’s Guide
7. URL: https://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/…/UCM268069.pdf
8. Ronda G. Hughes; Mary A. Blegen Chapter 37Medication Administration Safety Agency for Healthcare Research and Quality (US); 2008 Apr. URL: https://www.ncbi.nlm.nih.gov/books/NBK2656/
9. Schwappach D L B,Yvonne Pfeiffer, Katja Taxis Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses’ experiences BMJ Open. 2016; 6(6): e011394.
10. Ronda G. Hughes; Mary A. Blegen Chapter 37Medication Administration Safety Agency for Healthcare Research and Quality (US); 2008 Apr. URL: https://www.ncbi.nlm.nih.gov/books/NBK2656/
11. Schumock GT, Walton SM, Park HY, Nutescu EA, Blackburn JC, Finley JM, Lewis RK. Factors that influence prescribing decisions. Ann Pharmacother. 2004 Apr;38(4):557-62. Epub 2004 Feb 13. Ann Pharmacother. 2004 Apr;38(4):557-62. Epub 2004 Feb 13. Ann Pharmacother. 2004 Apr;38(4):557-62. Epub 2004 Feb 13.
12. SESSION GUIDE PROBLEMS OF IRRATIONAL USE OF DRUGS URL: http://new.paho.org/hq/dmdocuments/2010/3_IrrationalSG.pdf
13. Timothy S Lesar Prescribing Errors Involving Medication Dosage Forms J Gen Intern Med. 2002 Aug; 17(8): 579–587. doi: [10.1046/j.1525-1497.2002. 11056.x] PMID: 12213138