Dosavadní zkušenosti z kontrol historické preskripce léků na recept

Klin Farmakol Farm. 2008;22(4):165-168

Present experience from previous check prescription

Lubomír Dvořáček: Principal Business Consultant - Health, Praha

Recently there are no studies in the CR focused on assessing the quality of pharmacotherapy, especially with focus on drug interactions, prescription of related ATC groups or on occurence of other abnormalities in prescription. Simoultaneously there are no statistics of hospitalizations due to undesirable drug effects – therefore the existing situation in quality of drug prescription can currently only be appraised or deduced from foreign experience (Pirmohamed M: BMJ 2004; 329: 15–19). The cited study from the team of the professor of clinical pharmacology at University Liverpool Munir Pirmohamed assesses the situation in two big general hospitals in Merseyside (Great Britain) with catchment area 630 thousand inhabitants in the duration of 6 months. There were 18.820 patients admitted to hospitalization (in-patient care) in this period out of which 6,5 percent was admitted due to undesired drug effects- 16,6 percent of these cases was caused by drug interaction, 28 patients died, median of the hospitalization length was 8 days. These patients occupied 4 percent of the whole amount of the sickbeds. If we convert this data to situation in the CR, we get very interesting numbers. The article shows real situation in the field of prescription in the CR based on wide controls implemented in the historical prescription of important health insurance companies in the CR and in important files of prescription of hospitals from the county ones to faculty hospitals. Special emphasis is laid on drug prescription with potential drug interactions, with prescription related ATC groups and other abnormalities in drug prescription in the period of 2007.