Modified POPIs criteria to assess the quality of prescribing to pediatrics

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 402

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شناسه ملی سند علمی:

AECPMED02_011

تاریخ نمایه سازی: 28 بهمن 1398

چکیده مقاله:

Objective: To evaluate the applicability POPI criteria and modify the tool, where necessary, for application to iranian paediatric practice and therefore to facilitate further evaluation of the tool using prescribing data. Methods & Materials: In the first phase of this study, the only criteria of inappropriate drug prescription (POPI) in a Delphi study, based on the RAND / UCLA model, was translated into Persian and for adoptation was sent to a group of specialists including pediatricians and pharmacologists and Clinical Pharmacists. The indexes were modified in accordance with the views and suggestions of the commission of experts. Then, with the formation of expert meetings and the presence of faculty members of the university, the modified instrument was technically finalized based on their views and opinions In order to validate this tool and determine the prescription pattern and prevalence of potentially inappropriate medications among pregnant women, a cross-sectional study was conducted in a one-year database of a selected pediatric population in Khorasan Razavi and Azerbaijan sharqi provinces.. Results: According to expert’s opinions, the POPI criteria and the designed table, were modified. Considering the findings, we had an average of 0.35 errors for each prescription, which is not relatively high. The rate of at least one inappropriate prescribe in prescriptions in accordance with indigenous criteria was 69%, which was mainly primarily the administration of a drug other than acetaminophen as the first line of pain or fever treatment (8.46%), the second was oral or nasal decongestants (5.36%), and Thirdly, were sputum vectors before the age of 2 (4.28%).). Conclusion: The results of the present study demonstrated the difficulties faced by physicians to appropriate prescription for pediatrics. The modified POPI (IRAN) criteria comprise the first screening tool available to assess rational prescribing for children in hospital and outpatient settings. Clinical validation and reliability studies are needed and planned by the authors in order to evaluate the usability and reliability of this tool, which it is hoped will be used to study the rational use of medicines in children in IRAN.