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Prescription is an order for medications issued by a physician, veterinarian, dentist or other properly licensed medical practitioner to pharmacist. Incorrect prescription writing habits may lead to substandard therapeutic goals and even can cause drug induced injuries. Non-steroidal anti-inflammatory (NSAIDs) drugs are used in various inflammatory diseases such as arthritis. The missed or wrong information regarding NSAIDs in prescription may lead to irrational drug use and can cause gastrointestinal, cardiovascular and other problems. The present study was carried out to evaluate the prescribing errors in NSAIDs containing prescriptions. We collected a total of 2712 prescriptions by randomly visiting the pharmacies located beside outpatient clinical settings in various towns of Karachi city, Pakistan. Among the omission errors, the absence of prescriber's registration number (94.5%), prescriber's qualification (93.7%), drug's generic name (86.5%), patient's diagnosis (86%) and patient's weight (83.90%) were the most frequent errors. Regarding the commission errors the error of writing an ambiguous order (77.7%) was the most common followed by the use of non-standard or abbreviated drug names (37.6%), wrong dose (26.9%) and wrong dosage form (23.2%). Overall a low compliance to the standards of prescription writing was observed which may cause serious or fatal NSAIDs induced injuries. Implementation of electronic prescribing systems, educational programs on prescription writing and proper reviewing of the orders by pharmacists may be valuable to reduce the errors.

A retrospective study of NSAIDs containing medication orders for evaluating prescribing errors in outpatient clinical settings of a metropolitan city