Description

Phadke reported criteria for appropriate prescribing.


Patient selection: primary drug with one secondary/complementary drug

 

Parameters:

(1) correctness of main drug

(2) dose, duration and frequency of administration (DDF) of main drug

(3) correctness of complementary drug (in a combination)

(4) dose, duration and frequency of administration for complementary drug

 

Parameter

Finding

Points

correctness of main drug

first choice

10

 

second choice

6

 

third choice

3

 

wrong drug

0

DDF main drug

correct

10

 

wrong dose

5

 

wrong formulation

5

 

totally wrong

0

correctness of complementary drug

first choice

5

 

second choice

3

 

third choice

1.5

 

wrong drug

0

DDF complementary drug

correct

5

 

wrong dose

2.5

 

wrong formulation

2.5

 

totally wrong

0

 

total score =

= SUM(points for all of the parameter)

 

Interpretation:

• minimum score: 0

• maximum score with complementary drug: 30

• The higher the score the more appropriate the drug therapy.

• If no complementary drug is given, or if more than 1 is given, then the point assignment is adjusted.

 

The above score is combined with a demerit score for problems in the prescription.

 

Parameter

Finding

Points

irrational drug or combination

no

0

 

yes

-5 for each drug

unnecessary

no

0

 

yes

-5 for each drug

hazardous drug

no

0

 

yes

-10 for each drug

unnecessary injection

no

0

 

yes

-5 for each injectable

 

The maximum demerit score is -20 if only 1 drug involved.


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