Prescription Illegibility and Incompleteness Errors in Benghazi Ophthalmology Clinics: A Comparison of Handwritten and Computerized Prescriptions
Journal Title: IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) - Year 2019, Vol 14, Issue 1
Abstract
Medication error is the second cause of patient safety incidents that could lead to morbidity and mortality. The incompleteness and illegibility of medication prescription are high in developing countries. Most developed countries adopted electronic prescribing that has led to a reduction of incompleteness and illegibility of medication prescription errors. This study aimed to compare the illegibility and incompleteness rate in handwritten and computerized prescriptions in two ophthalmology clinics in Benghazi. A cross-sectional descriptive study was performed in outpatient ophthalmology clinics. Data were collected from Al-Kish public ophthalmology polyclinic, and advanced ophthalmology private center. The handwritten and computerized prescriptions were assessed for incompleteness by the checklist based on the Al-Kish polyclinic prescription format and WHO's guide to good prescribing. The handwritten prescriptions were evaluated for illegibility by two pharmacists. The patient and prescriber identification incompleteness rate in the handwritten prescriptions was 61.4% while it was 10.6% in the computerized prescriptions. In the handwritten prescriptions, the rate of medication identification incompleteness was 42.6% compared to 5.6% in the computerized prescriptions. There was no agreement between the experienced and less experienced pharmacists regarding prescription legibility. In conclusion, incompleteness was higher in handwritten prescriptions than computerized prescriptions. This study emphasizes electronic prescription use.
Authors and Affiliations
Huda Kutrani, Ainas Eltarhuni, Lamya S. El. Adouli, Abier A. Elshelmane
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