Prescription Audit

If
S.No. Item Yes-1 mark
No-0 mark
1 OPD Registration Number
2 Complete Name of the patient
Age in years (≥ 5 in years)
3
in case of < 5 years (in months)
4 Date of consultation - day / month / year
5 Sex of the patient
6 Handwriting is Legible.
7 Brief history Written

8 Salient features of Clinical Examination recorded

9 Presumptive / definitive diagnosis written

10 Drugs are prescribed by generic names
11 Drugs names are in capitals
12 Drugs prescribed are in line with STG.
13 Drugs prescribed are listed in EDL
14 Dosage Schedule / doses clearly written
15 Duration of treatment written
16 Date of next visit (review) written
17 More than 5 number of drugs are prescribed
In case of referral, the relevant clinical details and
18
reason for referral given
19 The required precaution / do's and don'ts recorded
20 Prescription duly signed (legibly)

21 Medicines advised mostly available in the dispensary

No, Unnecessary prescribed Vitamins, Tonics or

22
Enzymes.

23 No, Unnecessary/irrational Antibiotics/Polypharmacy.

24 Unnecessary prescribed injections.

25 Investigation advised

Total Score
S.No. Item P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 %
1 OPD Registration Number 1 1 1 1 1 1 1 0 1 1 90
2 Complete Name of the client 1 0 1 1 1 0 1 1 1 1 80
Age in years (≥ 5 in years)
3 in case of < 5 years (in months) 1 1 0 1 1 1 0 1 0 1 70
4 Date of consultation - day / month / year 1 0 1 1 1 0 1 0 1 1 70
5 Sex of the client 1 1 1 1 1 1 1 1 1 1 100
6 Handwriiting is Legible. 1 0 1 0 1 1 0 1 0 1 60
7 Brief histroy Written 1 1 0 0 1 1 0 0 1 0 50
Salient features of Clinical Examination
8 recorded 1 0 1 0 1 1 0 0 0 1 50
9 Presumptive / definitive diagnosis written 0 0 0 1 0 1 1 0 0 1 40
10 Drugs are prescribed by generic names 1 0 0 0 0 0 0 1 1 1 40
11 Drugs prescribed are in line with STG. 1 1 1 0 0 0 1 1 1 0 60
12 Dosage Schedule / doses clearly written 1 1 1 0 0 0 1 0 1 0 50
13 Duration of treatment written 1 1 1 0 0 0 1 1 0 1 60
14 Date of next vist (review) written 1 1 1 0 0 0 1 1 0 1 60
In case fo referral, the relevant clinical details
15 and reason for referral given NA NA 1 0 1 0 NA NA NA NA 50
The required precaution / do's and don'ts
16 recorded 1 0 1 0 1 0 1 0 1 0 50
17 Prescription duly signed (legibly) 1 1 1 0 0 0 1 1 1 0 60
Medicines advised mostly available in the
18 dispensary 0 0 1 0 0 1 0 0 1 1 40
No, Unnecessary prescribed Vitamins, Tonics
19 or Enzymes. 1 0 0 1 0 1 0 0 1 0 40
No, Unnecessary/irrational
20 Antibiotics/Polypharmacy. 0 1 1 0 1 0 1 1 0 1 60
21 Unnecessary prescribed Injections. 1 1 0 0 1 0 1 0 1 50
22 Investigations advised 1 0 0 1 0 1 1 1 1 1 70
23 Antibiotics prescribed 1 1 1 1 1 1 1 1 1 1 100
TOTAL SCORE
C
S.No. Item %
1 OPD Registration Number 90
2 Complete Name of the client 80 %
Age in years (≥ 5 in years)
3 in case of < 5 years (in months) 70 Unnecessary prescribed Injecti
3 Date of consultation - day / month / year 70 No, Unnecessary prescribed Vitamins, Tonics or Enzy
4 Sex of the client 100 Prescription duly signed (le
5 Handwriiting is Legible. 60 In case fo referral, the relevant clinical details and reason for referral
7 Brief histroy Written 50 Duration of treatment w
Drugs prescribed are in line with
8 Salient features of Clinical Examination recorded 50 Presumptive / definitive diagnosis w
9 Presumptive / definitive diagnosis written 40 Brief histroy W
10 Drugs are prescribed by generic names 40 Sex of the
Age in years (≥ 5 in years) in case of < 5 years (in mo
11 Drugs prescribed are in line with STG. 60
OPD Registration Nu
12 Dosage Schedule / doses clearly written 50
13 Duration of treatment written 60
14 Date of next vist (review) written 60
In case fo referral, the relevant clinical details and
15 reason for referral given 50

16 The required precaution / do's and don'ts recorded 50

17 Prescription duly signed (legibly) 60
Medicines advised mostly available in the
18 dispensary 40
No, Unnecessary prescribed Vitamins, Tonics or
19 Enzymes. 40
No, Unnecessary/irrational
20 Antibiotics/Polypharmacy. 60
21 Unnecessary prescribed Injections. 50
22 Investigations advised 70
23 Antibiitics prescribed 100 C
TOTAL SCORE
%
Unnecessary prescribed Injections.
necessary prescribed Vitamins, Tonics or Enzymes.
Prescription duly signed (legibly)
levant clinical details and reason for referral given
Duration of treatment written
Drugs prescribed are in line with STG. %
Presumptive / definitive diagnosis written
Brief histroy Written
Sex of the client
in case of < 5 years (in months)
OPD Registration Number
0 20 40 60 80 100 120

Antibiitics prescribed

Investigations advised

0 20 40 60 80 100 12
Column
C

40 60 80 100 120