TY - JOUR
T1 - Evaluation of rational use of medicines (RUM) in four government hospitals in UAE
AU - Mahmood, Amal
AU - Elnour, Asim Ahmed
AU - Ali, Abdel Azim Ahmed
AU - Hassan, Nageeb A.G.M.
AU - Shehab, Abdulla
AU - Bhagavathula, Akshaya Srikanth
N1 - Funding Information:
We thank Dubai health authority (DHA) and the medical districts in Sharjah, Ajman and Umm Al Quwain for giving the permission to conduct this research in their facilities. We also thank the employees of the pharmacies of the hospitals who helped during the data collection. We would like to thank Mr. Imad Shadeed from the department of statistics for his statistical efforts.
Publisher Copyright:
© 2015 The Authors.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Rational: Studies conducted showed that there were gaps regarding the rational use of medicines (RUM). Aims and objectives: Evaluate RUM in main government hospitals in four emirates in UAE, using WHO prescribing indicators. Method: Multicenter prospective cross-sectional comparative study was conducted in 4 hospitals in 4 different Emirates in UAE. Using consecutive random sampling method, a total of 1100 prescriptions (2741 prescribed drugs) were collected and analyzed from surveyed hospitals from April to October 2012. Index of Rational Drug Prescribing (IRDP) was used as an indicator of RUM. Results: The main finding of this study was that, the mean values of prescribing indicators of RUM in the surveyed hospitals were estimated to be within the WHO optimal values for generics (100.0 vs. 100.0), antibiotics (9.8 ± 4.8 vs. ≤30), injections (3.14 ± 1.7 vs. ≤10) and formulary (EML) prescribing (100.0 vs. 100.0). However, the only discrepancy was reported regarding the number of drugs per prescription which was found to be more than the WHO optimal value (2.49 ± 0.9 vs. ≤2); respectively. The mean IRDP was 4.55 which was less than the WHO optimal value of 5. Conclusions: Strategies and interventions are desirable to promote RUM and minimize the consequences of poly-pharmacy.
AB - Rational: Studies conducted showed that there were gaps regarding the rational use of medicines (RUM). Aims and objectives: Evaluate RUM in main government hospitals in four emirates in UAE, using WHO prescribing indicators. Method: Multicenter prospective cross-sectional comparative study was conducted in 4 hospitals in 4 different Emirates in UAE. Using consecutive random sampling method, a total of 1100 prescriptions (2741 prescribed drugs) were collected and analyzed from surveyed hospitals from April to October 2012. Index of Rational Drug Prescribing (IRDP) was used as an indicator of RUM. Results: The main finding of this study was that, the mean values of prescribing indicators of RUM in the surveyed hospitals were estimated to be within the WHO optimal values for generics (100.0 vs. 100.0), antibiotics (9.8 ± 4.8 vs. ≤30), injections (3.14 ± 1.7 vs. ≤10) and formulary (EML) prescribing (100.0 vs. 100.0). However, the only discrepancy was reported regarding the number of drugs per prescription which was found to be more than the WHO optimal value (2.49 ± 0.9 vs. ≤2); respectively. The mean IRDP was 4.55 which was less than the WHO optimal value of 5. Conclusions: Strategies and interventions are desirable to promote RUM and minimize the consequences of poly-pharmacy.
KW - Drugs
KW - Essential medicine list (EML)
KW - Prescribing indicators
KW - Rational use of medicine (RUM)
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U2 - 10.1016/j.jsps.2015.03.003
DO - 10.1016/j.jsps.2015.03.003
M3 - Article
AN - SCOPUS:84925950071
SN - 1319-0164
VL - 24
SP - 189
EP - 196
JO - Saudi Pharmaceutical Journal
JF - Saudi Pharmaceutical Journal
IS - 2
ER -