Journal of Isfahan Dental School

Dentists’ Prescription Behavior in Razavi Khorasan Province

Document Type : مقاله‌های پژوهشی

Authors

1 Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Dentist, Mashhad, Iran.

3 Nanotechnology Research Center, School of Pharmacy, Mashhad University of Medical science, Mashhad, Iran.

4 Targeted Drug Delivery Research Center, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Research center of Oral Medicine, School of dentistry, Mashhad University of Medical science, Mashhad, Iran.

Abstract

Introduction: To expedite the process of treatment, recovery of patients and prevention of medical adverse effects, dentists should be aware of prescription errors. This study aimed to investigate prescription behavior of dentists and common prescription errors by dentists in Razavi Khorasan Province.
Materials & Methods: In this study, 1108 prescriptions by dentists in Razavi Khorasan Province from Fenruary 2016 to July 2016, from Social Security and Therapeutic Services insurance organizations were evaluated. To collect data, a list was prepared, consisting of drug forms, drug names, drug doses, intervals of administration, route of administration, drug interferences and the number of items in each prescription. Furthermore, the lack of date, dentist’s signature or seal, and illegibility of the prescription were recorded in the error list of the prescription. Data were analyzed using chi-squared and Fisher’s exact tests.
Results: Most errors were related to incorrect drug form (17.3%), incorrect route of administration (10.9%) and incorrect dose (10.4%). The mean number of medications prescribed per patient was 2.36. Antibiotics (50.7%) and antiinflammatory drugs (33.5%) were respectively the most commonly prescribed medications.
Conclusion: The results of the present study demonstrated that the performance of dentists in Razavi Khorasan Province was appropriate in terms of the number of drugs prescribed per patient; however, the number of prescribed antibiotics and nonsteroidal antiinflammatory drugs was higher than the reports in other countries. Given the high percentage of errors in prescriptions, it is highly recommended that the prescription behavior be included in the curricula of dentistry and be emphasized in continuous education programs for dentists.
Key words: Dentistry, Drug prescription, Error, Prescription behavior.

1. Allan GM, Lexchin J, Wiebe N. Physician awareness of drug cost: a systematic review. PLoS Med 2007; 4(9): e283.
2. Alyamani N, Hopf Y, Willams DJ. Prescription quality in an acute medical ward. Pharmacoepidemiol Drug Saf 2009; 18(12): 1158-65.
3. Warren MM, Gibb AP, Walsh TS. Antibiotic prescription practice in an intensive care unit using twice-weekly collection of screening specimens: a prospective audit in a large UK teaching hospital. J Hosp Infect 2005; 59(2): 90-5.
4. Heidari Sh, Khodadadi A, Ravari A, Asadi Gh, Fatehi Z. Prescription quality of medication chart of hospitalized patients in hospitals affiliated with Rafsanjan University of Medical Sciences, 2007. J Rafsanjan Univ Med Sci 2012; 11(5): 437-48. [In Persian].
5. Laing R, Hogerzeil H, Ross-Degnan D. Ten recommendations to improve use of medicines in developing countries. Health Policy and Plan 2001; 16(1): 13-20.
6. Marek CL. Avoiding prescribing errors: A systematic approach. J Am Dent Assoc 1996; 127(5): 617-23.
7. Gomez-Olivan L, Rodriguez SM, Loyola PP, Lopez AT, Amaya-Chavez A, Galar-Martinez M. The prescription of drugs in a dental clinic of a Mexican university hospital. Farm Hosp 2007; 31(3): 169-72.
8. Nezafati S, Maleki N, Golikhani R. Quality assessment of health services insurance prescription among the dentists of Tabriz City in 2005-2006. Med J Tabriz Univ Med Sci 2009; 31(2): 101-4. [In Persian].
9. Mendonça JM, Lyra DP Jr, Rabelo JS, Siqueira JS, Balisa-Rocha BJ, Gimenes FR, et al. Analysis and detection of dental prescribing errors at primary health care units in Brazil. Pharm World Sci 2010; 32(1): 30-5.
10. Sepehri GH, Dadolahi Y. Characterization of drug prescribing practices among dentists in Kerman province, 2001. J Dent Sch 2006; 24(1): 15. [In Persian].
11. Force M, Deering L, Hubbe J, Andersen M, Hagemann B. Cooper- Hahn M, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nnurs Adm 2006; 36(1): 34-41.
12. Kia SJ, Behravesh M, Sigaroudi AK. Evaluation of drug prescription pattern among general dental practitioners in Rasht Iran. Journal of Dentomaxillofacial Radiology, Pathology and Surgery 2012-13; 1(2): 18-23.
13. Sheikhol-Eslami H, Asefzadeh S. Antibiotics in Qazvin physicians' prescriptions. J Guilan Univ Med Sci 1999; 8(31, 32): 35-41. [In Persian].
14. Cruciol-Souza JM, Thomson JC. A pharmacoepidemiologic study of drug interactions in a Brazilian teaching hospital. Clinics 2006; 61(6): 515-20.
15. Salako NO, Rotimi VO, Adib SM, Al-Mutawa S. Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwait. J Dent 2004; 32(7): 503-9.
16. Hogerzeil HV. Promoting rational prescribing: an international perspective. Br J Clin Pharmacol 1995; 39(1): 1-6.
17. Maki DG, Schuna AA. A study of antimicrobial misuse in a university hospital. Am J Med Sci 1978; 275(3): 271-82.
18. Sadighi J, Maftoon F, Ziai S. Herbal medicine: Knowledge, attitude and practice in Tehran. J Med Plant 2005; 1(13): 60-7.
19. Zarinfar N, Akbari M, Sharafkhah M. Evaluation of antibiotic resistance of gram-negative bacteria isolated from patients of an academic and a non-academic hospital in Arak, Iran: 2011-12. Arak Uni Med Sci J 2013; 16(79): 47- 60. [In Persian].
20. Baghaei F, Raoof M, Kakoei S, Adhami S. Pattern of analgesics prescription by dentists in Iran .Shiraz Univ J 2009; 10(2): 170-4.
21. Şermet S, Akgün MA, Atamer-Şimşek Ş. Analgesics prescription pattern in the management of dental pain among dentists in Istanbul. Marmara Pharm J 2012; 16: 41-7.
22. Sarkar C, Das B, Baral P. Analgesic use in dentistry in a tertiary hospital in western Nepal. Pharmacoepidemiol Drug Saf 2004; 13(10): 729-33.
23. Classen DC, Pestotnik SL, Evans RS, Lloyd JF, Burke JP. Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. JAMA 1997; 277(4): 301-6.
24. Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. JAMA 1998; 279(15): 1200-5.
Journal of Isfahan Dental School
Volume 14, Issue 3 - Serial Number 3
July 2018
Pages 294-304