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ASSESSMENT OF DRUG RELATED PROBLEMS IN THE GENERAL MEDICINE WARD OF A MULTISPECIALITY TEACHING HOSPITAL
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| Author:
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NOAH BOSE, MERRIN MATHEW, BIBISHA JOY, JUNO J JOEL, RAJESH KS, BHARATH RAJ, NANDAKUMAR UP, ANJALYVIJAYAN
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| Abstract:
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The current study was undertaken to evaluate the various drug related problems in the inpatients in a multispecialty
teaching hospital to identify the frequently observed DRPs and the risk factors associated with its incidence such as
age and polypharmacy. The study was of a prospective observational type. The in-patient files were evaluated from
the day of admission and were followed till discharge. The identified drug related problems were documented in the
drug related problem documentation form. From the total of 600 patients studied, 55.5% were males. 30.5% of the
patients fell in the geriatric age group and 67% of the patients received polypharmacy. 1256 DRPs were identified and
the DRP per patient in the geriatric population was high (3.37 per patient) and in patients receiving polypharmacy, it
was 2.64 per patient. Antibiotics were the drug class associated with the most frequent DRP and missing drug when
indication existed or sub optimal dosing was the most common DRP. Drug related problems being an important and
prevalent obstacle in optimal healthcare delivery needs to be acknowledged. With the emerging trend of resistance
among infective agents, the utilisation of anti-infective agents need stricter control.
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| Keyword:
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DRP, APS-Doc classification, inappropriate prescribing, medication error
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2019.11.02.102
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| Download:
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