[Link].
Criteria
1 OPD Registration Number mentioned?
2 Complete Name of the patient is written?
3 Age in years (≥ 5 in years) in case of < 5 years (in
4 months)
Date of consultation - day/month/year
5 Gender of the patient
6 Handwriting is Legible in Capital Letters
7 Brief history Written
8 Allergy status mentioned
9 Salient features of Clinical Examination recorded
10 Presumptive / definitive diagnosis written
11 Medicines are prescribed by generic names
12 Medicines prescribed are in line with STG
13 Medicine Schedule/ doses clearly written
14 Duration of treatment written
15 Date of next visit (review) written
16 In case of referral, the relevant clinical details and reason
17 for referraladvise
Follow-up given and precautions (do’s and don’ts) are
18 recorded
Prescription duly signed (legibly)
19 Medicines Prescribed are as per EML/Formulary
20 Medicines advised are available in the dispensary
21 Vitamins, Tonics or Enzymes prescribed
22 Antibiotics prescribed
23 Antibiotics are prescribed as per facility’s Antibiotic Policy
24 Investigations advised
25 Injections prescribed
26 Number of Medicines prescribed
Total
Prescription Audit Format ( Sample Size 30) - State Y
P1 P2 P3 P4 P5 P6 P7 P8 P9 P10
Size 30) - State Y(yes) or N(No) for each attribute
P11 P12 P13 P14 P15 P16 P17 P18 P19 P20
P21 P22 P23 P24 P25 P26 P27 P28 P29 P30
Total
no of Percentage
Y
0
0
0
0
Prescription Audit Data A
[Link].
1
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Prescription Audit Data Analysi
Indicator
% of prescription with OPD Registration Number
% of prescription with Complete Name of the patient
% of prescription with correct age of the patient.
% of prescription with date
% of prescription with sex of the patient.
% of prescription with legible handwriting, preferably in
Capital letters.
% of prescription with Brief history Written
% of prescription Allergy status mentioned
% of prescription with Salient features of Clinical
Examination
% of prescription with Presumptive / definitive diagnosis
% of prescription with medicines in Generic names
% of prescription with medicines prescribed in line with STG
% of prescription with clearly written medicine Schedule/
doses
% of prescription with duration of treatment.
% of prescription with date of next visit
% of prescription with details and reasons of referral.
% of prescription with follow- up advise
% of prescription duly signed.
% of prescription with medicines prescribed from EML
% of prescription with medicines available in dispensary.
% of prescription with Vitamins, Tonics or Enzymes.
% of prescription with antibiotics
% of prescription with Antibiotics as per Antibiotic Policy
% of prescription with investigations
% of prescription with injections
Average no. of medicines/ prescription
n Audit Data Analysis
Formula Calculation
No. of Prescriptions with OPD registration/No. of prescription
audited. X 100
No. of prescription with Complete Name of the patient/No. of
prescription audited. X 100
No. of prescription with correct age of the patient. /No. of
prescription audited. X 100
No. of prescription with date/No. of prescription audited. X 100
No. of prescription with sex of the patient. /No. of prescription
audited. X 100
No. of prescription with legible handwriting. /No. of prescription
audited. X 100
No. of prescription with Brief history Written/No. of prescription
audited. X 100
No. of prescription Allergy status mentioned/No. of prescription
audited. X 100
No. of prescription with Salient features of Clinical Examination/No.
of prescription audited. X 100
No. of prescription with Presumptive / definitive diagnosis/No. of
prescription audited. X 100
No. of prescription with medicines in Generic names/No. of
prescription audited. X 100
No. of prescription with medicines prescribed in line with STG/ No.
of prescription audited. X 100
No. of prescription with clearly written medicine Schedule/
doses/No. of prescription audited. X 100
No. of prescription with duration of treatment. /No. of prescription
audited. X 100
No. of prescription with date of next visit/No. of prescription
audited. X 100
No. of prescription with details and reasons of referral/No. of
prescription audited. X 100
No. of prescription with follow-up advise/No. of prescription
audited. X 100
No. of prescription duly signed. /No. of prescription audited. X 100
No. Prescription with medicines prescribed from EML/ No. of
prescription audited. X 100
No. of prescription with medicines available in dispensary/No. of
prescription audited. X 100
No. of prescription with Vitamins, Tonics or Enzymes. /No. of
prescription audited. X 100
No. of prescription with antibiotics/No. of prescription audited. X
100
No. of prescription with Antibiotics as per Policy /No. of prescription
audited. X 100
No. of prescription with investigations/No. of prescription audited.
X 100
No. of prescription with injections/No. of prescription audited. X
100
Total no. of medicines prescribed/Total no. of prescription audited
