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    Prescription Audit Compilation Sheet - DR - arviND

    Uploaded by

    Zothankhuma

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Prescription Audit Compilation Sheet - DR - arviND

    Uploaded by

    Zothankhuma
    134 views12 pages

    Original Title

    Prescription Audit Compilation Sheet -DR.arviND

    Copyright

    © © All Rights Reserved

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    XLSX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    134 views12 pages

    Prescription Audit Compilation Sheet - DR - arviND

    Uploaded by

    Zothankhuma

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 12

    Prescription Audit

    Name Of Hospital

    Month & Year Jan-19


    AUDITOR NAME

    FILL ONLY 1 IF DONE


    TYPE OF FILLING DATA FILL 0 IF NOT DONE

    Date of Audit

    IP/OP number..

    Name of patient written with IP/OP


    number(1/0)

    Medication written in capital letter

    Medication orders are clear and


    easily readable
    Medication orders have date and
    time mentioned
    Medication orders have route
    mentioned
    Medication orders have dosage
    mentioned (0t required for single
    dose)
    Medication orders have frequency
    mentioned
    Prescription/Medication order is
    signed
    Prescription/Medication order is
    named by doctor
    Whether the drug is relevant to the
    disease/condition?

    Any drugs or combination of drugs


    which cause drug-drug interaction
    Antibiotic prescribed(1/0)

    Department or Doctor name


    (who has written priscription)
    NE
    NE
    NO OF
    PRESCRIPTIONS
    % COMPLIANCE
    WITH FILLED
    DETAILS

    0
    0.00
    0
    0.00
    0
    0.00
    0
    0.00
    0
    0.00

    0
    0.00
    0
    0.00
    0
    0.00
    0
    0.00
    0
    0.00

    0
    0.00
    0
    0.00

    0.00
    Prescription Audit (JAN 2019) Sample size

    PRESCRIPTION
    COVERED THE
    CHECKPOINTS POINTS OUT OF COMPLIANCE %
    30
    PRESCRIPTIONS

    Name of patient written with IP/OP 0 0.00


    number
    Medication written in capital letter 0 0.00

    Medication orders are clear and easily


    readable 0 0.00

    Medication orders have date and time


    mentioned 0 0.00

    Medication orders have route


    mentioned 0 0.00

    Medication orders have dosage


    mentioned (not required for single 0 0.00
    dose)
    Medication orders have frequency
    0 0.00
    mentioned
    Prescription/Medication order is signed
    0 0.00

    Prescription/Medication order is
    0 0.00
    named
    Whether the drug is relevant to the
    0 0.00
    disease/condition?
    Any drugs or combination of drugs
    0 0.00
    which cause drug-drug interaction
    0 0.00
    Antibiotic prescribed

    Prescription Audit (JAN 2019) Sample size 30patients


    100.00
    80.00
    60.00
    40.00
    20.00
    0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0
    80.00
    60.00
    40.00
    20.00
    0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0

    Column C
    n Audit (JAN 2019) Sample size 30patients

    CORRECTIVE & PREVENTIVE ACTION RESPONSBILITY TIMELINE

    ample size 30patients

    0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00


    0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

    Column C

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