Appropriate Prescribing of Medications: An Eight-Step Approach

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Tags: adverse drug events , pharmacology

Appropriate Prescribing of Medications: An Eight-Step Approach

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17th January 2007, 12:49 AM

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Appropriate Prescribing of Medications: An Eight-Step Approach

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Full text from latest American Family Physician:
Appropriate Prescribing of Medications: An Eight-Step Approach

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A systematic approach advocated by the World Health Organization can help minimize poor-quality and erroneous prescribing. This six-step approach to prescribing suggests that the physician should (1) evaluate and clearly define the patient's problem; (2) specify the therapeutic objective; (3) select the appropriate drug therapy; (4) initiate therapy with appropriate details and consider nonpharmacologic therapies; (5) give information, instructions, and warnings; and (6) evaluate therapy regularly (e.g., monitor treatment results, consider discontinuation of the drug). The authors add two additional steps: (7) consider drug cost when prescribing; and (8) use computers and other tools to reduce prescribing errors. These eight steps, along with ongoing self-directed learning, compose a systematic approach to prescribing that is efficient and practical for the family physician. Using prescribing software and having access to electronic drug references on a desktop or handheld computer can also improve the legibility and accuracy of prescriptions and help physicians avoid errors. (Am Fam Physician 2007;75:231-6, 239-40. Copyright © 2007 American Academy of Family Physicians.)

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17th January 2007, 12:55 AM

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