Dr. Danish Azad
The footfall of the patients is highest in tertiary care hospitals,
hence, the process followed as patients are seen independently by
consultants and write the prescription in daily progress notes and
resident trainee doctors sequentially transcribe it into drug chart
followed by nursing for indenting the same medicine and then
lastly pharmacist dispense the same.
The Topic was carried out to compare the medication error happened
before and after implementation of hospital information
system for IPD admitted patients more than 3 days. Medication
error observed and found of the physicians, nursing and pharmacists
during patient care.
Methods: Regular wards and ICU audit has been performed and
validated. It was then informed to Nursing in charges, supervisors,
duty doctors and then report the root cause analysis.
The data was recorded, analyzed and compared between before
and after implementation of HIS.
Result: Patient Care were increased, and the hospital has got very
prestigious honor and accredited by JCI as well as NABH accreditation.
Major decrease has been found in the prescription error.
High risk drug look alike and Sound alike drugs also been more
categorized and delighted by the HIS in patient care. Most patients
were delighted with right administration time, right drug, right
dose, right frequency, right route and right explanation given and
overall patient experience (>8/10).
