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   Table of Contents - Current issue
Coverpage
May-August 2019
Volume 7 | Issue 2
Page Nos. 31-58

Online since Friday, December 20, 2019

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NATIONAL OR SOCIETY GUIDELINES  

Preventing infection from indwelling intravascular devices: Hospital infection society India consensus group recommendations for Indian healthcare p. 31
Raman Sardana, Amit Kumar Mandal, Deepthi Nair, Leena Mendiratta, Hena Butta, TS Jain, Arti Kapil, Chand Wattal, Charoo Hans, RK Mani, Gaurav Sagar, Namita Jaggi, Praveen Khilnani, Purva Mathur, Sanjiv Jasuja, Sudha Kansal, Vikas Manchanda, Vivek Nangia, Anita Sharma, Fatima Khan, Geeta Mehta, Gita Nataraj, Rohini Kelkar, Subhash Todi, Sujata Baveja, V Balaji, Aarti Gupta, Anita Arora, Anu Gupta, Azra Hasan, Lakshmy A Raman, Madhu Choudhry, Mahvash Haider, Manju Mani, Neha Rathor, Nitika Aggarwal, Purabi Barman, Ravneet Kaur, Shalini Malhotra, Sonia Khatter Malik, Suresh Kumar, TD Chugh, VL Malhotra, Vrushali Patwardhan, Angela Stephens, Reena Ligin, Sapna Kumari, Shilpi Singh
DOI:10.4103/jpsic.jpsic_17_19  
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ORIGINAL ARTICLES Top

A study to assess the degree of adherence of prescription to WHO and MCI guidelines at a tertiary health care teaching hospital in North India p. 48
Richa Mishra, Rajesh Harsvardhan, Ritika Rai, Hem Chandra
DOI:10.4103/jpsic.jpsic_12_19  
Background: Prescription errors are one of the most common preventable medication errors. The occurrence of medication errors can compromise the patient confidence in the healthcare system and also increase healthcare costs. The aim of this study was to randomly audit medical prescriptions and associated factors at the outpatient department of a tertiary care teaching institute in Lucknow. Methodology: A total of 420 prescriptions were randomly selected and reviewed. Data on the prescribed drugs were collected from prescription papers using a structured format and analysed using SPSS software. Data on patient demographics, indication for each medication, dosage, dosage form, regimen and concurrent medications were collected. Data on duration of medication were not evaluated. Results: Out of 420 prescriptions included for review, date of prescription was documented in only 59% of cases. Signature of doctor was present in 94.2% prescriptions although the name of the prescriber was mentioned in only 27% prescriptions. The average number of drugs per prescription was 3.89%. Errors related to dosing were documented in 44% cases. Injectable drugs were prescribed in 26.6% prescriptions, whereas antibiotics were written in 13.8%. The percentage of drugs prescribed by generic name was only 7.61%. The understanding of patients regarding prescription of medication given to them, especially with regards to legibility of dose and timing was 55.7%. Conclusion: The results of our study prove that prescribing errors are a major cause of preventable iatrogenic injury to patients. They may be rectified by educational intervention as well as standardised prescription charts.
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Stethoscope hygiene and barriers among physicians – A cross-sectional study from National Guard Health Affairs in Dammam, Saudi Arabia p. 53
Suha Al Saleh, Aidah Abdul-Aziz Al Rammah, Wajid Syed, Rawan Al Duhailan, Sufanah Kattan, Fawiziah Al-Mana
DOI:10.4103/jpsic.jpsic_19_19  
Objectives: This study aims to evaluate the stethoscope hygiene Disinfection practice and barriers among National Guard Health Affairs physicians in Dammam, Saudi Arabia. Methods: A paper-based cross sectional prospective study was conducted among physicians practicing at the Imam Abdurrahman Al-Faisal Hospital over a period of 3 months from October to December 2018. We assessed the frequency and method of disinfection, perception of contamination, and barriers to disinfection. Results: Ninety-three respondents completed the survey. The results of the study found that Isopropyl alcohol 70% or an alcohol swab was the most common disinfecting agent, reported by 77 (82.8%) of respondents. The majority of the respondents 33 (35.5%) were spend 5-10 seconds to disinfect the stethoscope, 24 (25.8%) were <5 seconds, 12 (12.9%) were never disinfect stethoscope. Half of the respondents 51 (54%) were disinfect stethoscope after every use, 10 (10.8%) were disinfect multiples times per week, while 6 (6.5%) were disinfect stethoscope. The most common reported barriers to cleaning stethoscopes were forgetfulness/laziness 42 (45.2%), lack of time 30 (32.3%), or lack of knowledge regarding the best disinfectant 21 (22.6%). Conclusion: This study found that the vast majority of respondents reported cleaning of stethoscope using a suitable method of their choice. Increasing physicians' access to appropriate disinfectants and providing visual reminders in health care facilities may improve stethoscope disinfection practices.
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