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\begin{document}


\def\RunningAuthor{Harshith N et al.}
\firstPage{52}
\articleType{Original Article}
\receivedDate{28 Jun 2020}
\acceptedDate{03 Aug 2020}
\revisedDate{30 Jul 2020}
\journalVolume{2021, 12}
\journalIssue{1}
\journalDoi{ijrps.v12i1.3911}
\copyrightYear{2021}
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\title{\textbf{Study on prescription writing practices in a tertiary care teaching hospital, Mysore}}
\author{Harshith~N\textsuperscript{*},  
            Laksmi~Nagesh,  
            Kanakavalli~K.~Kundury, 
            Sujay~Mugaloremutt~Jayadeva~\\[5pt]{Department of Health System Management Studies, JSSAHER Sri Shivarathreeshwara Nagara, Mysuru - 570 015, Karnataka, India}}

\begin{abstract}
Accurate Use of Prescription betters the well being of patients. It becomes very essential to study PrescriptionWriting practices. The main goal of the study was to study the Prescription writing Practices and to assess the gaps in Prescription Writing so that it would be beneficial to the Patients. The study was conducted attertiary care teaching hospital in Mysore for Period of 6 months. Data was collected by both Retrospective and Prospective ways, A total of 2825 prescriptions were randomly collected from out patients visiting the study site, and analyzed. Sixteen Criteria were analyzed pertaining to the Prescription writing Practices the most significant criteria for Clinical diagnosis, which is crucial for avoiding misdistribution of drug to patients was missing in majority of the prescriptions. Prescribers initials, Seal with MRC of the prescriber in 6 months data it was seen that most of criteria which is mandated by MCI (medical council of India) not being followed by physicians. The study recommends for Medical Practitioners to follow the MCI Protocol in order to avoid errors in Prescription.
\end{abstract}\def\keywordstitle{Keywords}

\begin{keywords}MCI (Medical Council of India),\newline Prescription,\newline MRC (Medical Reimbursement Claims),\newline Clinical diagnosis,\newline Prescribers,\newline Medical Practitioners
\end{keywords}
\twocolumn[ \maketitle {\printKwdAbsBox}]
\makeatletter{\raggedright\textsuperscript{*}Corresponding Author\par Name:\ Harshith~N~\\ Phone:\ 8618423152  ~\\  Email:\ harshith.dhsms@jssuni.edu.in
        \par}\vspace*{-11pt}\hrulefill\par{\fontsize{12}{14}\selectfont ISSN: 0975-7538}\par% 
        \textsc{DOI:}\ \href{https://doi.org/10.26452/\@journalDoi}{\textcolor{blue}{\underline{\smash{https://doi.org/10.26452/\@journalDoi}}}}\par%
        \vspace*{-11pt}\hrulefill\\{\fontsize{9.12}{10.12}\selectfont Production and Hosted by}\par{IJRPS |~\href{www.ijrps.com}{www.ijrps.com}}\par%
        \vspace*{-2pt}{\fontsize{9.12}{10.12}\selectfont\textcopyright\ \@copyrightYear\ $|$ All rights reserved.}\par%
        \vspace*{-11pt}\rule{\linewidth}{1.2pt}
        \makeatother
        
    
\section{Introduction}
A prescription is a written order from the physician to pharmacist, which consists of drug's name, dose, strength, and duration of use. Prescription should contain the prescriber name, address, contact number, and signature and also mention name, address, contact member, age, gender of patient, and also directions, instructions, and warnings for patients\unskip~\citep{844761:19934631}

 Prescription is an authoritative report that contains point by point data in regards to modified pharmacological treatment structured by a Physician for a patient. It very well may be a document during medico-lawful Conditions\unskip~\citep{844761:19934633}. It additionally fills in as a correspondence among Registered Medical Practitioner and drug specialists. Such a significant record ought to be composed cautiously. Be that as it may, it is exceptionally regular to see some missing subtleties or indistinct data in medicines composed by specialists\unskip~\citep{844761:19934625}. Prescription Writing is educated for clinical understudies in their initial academic year alongside different subjects of pharmacology\unskip~\citep{844761:19934626}. Extraordinary accentuation is given to this subject by remembering it for functional assessment\unskip~\citep{844761:19934629} (Prescription composition, analysis and amendment of solution)\unskip~\citep{844761:19934634}. Notwithstanding such cautious preparing, adequate measures in solution composing are invisible\unskip~\citep{844761:19934630}. One of the significant reasons could be the patient{\textendash}specialist proportion in the emergency clinics\unskip~\citep{844761:19934627}. 


\begin{table*}[!htbp]
\caption{\boldmath {Details of December} }
\label{tw-27b4ffb4c276}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.144075\linewidth-2\tabcolsep}p{\dimexpr.55067499999999995\linewidth-2\tabcolsep}p{\dimexpr.15157499999999999\linewidth-2\tabcolsep}p{\dimexpr.153675\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}{\multirow{2}{*}{\textbf{S. No}}} & {\multirow{2}{*}{\textbf{Variables}}} & \multicolumn{2}{p{\dimexpr(.30525\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{December}}\\
\rowcolor{kwdboxcolor} &  & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No}\\
\tblmidrule 
1  &
  Date of prescription &
  \cAlignHack 100\% &
  \cAlignHack 0\%\\
2 &
  OP Number &
  \cAlignHack 66\% &
  \cAlignHack 34\%\\
3 &
  Name of the Patient &
  \cAlignHack 96\% &
  \cAlignHack 4\%\\
4 &
  Age of the Patient &
  \cAlignHack 70\% &
  \cAlignHack 30\%\\
5 &
  Sex &
  \cAlignHack 72\% &
  \cAlignHack 28\%\\
6 &
  Clinical Diagnosis &
  \cAlignHack 2\% &
  \cAlignHack 98\%\\
7 &
  Dosage Form Mentioned &
  \cAlignHack 0\% &
  \cAlignHack 100\%\\
8 &
  Name of the DRUG is \mbox{}\protect\newline legible &
  \cAlignHack 93\% &
  \cAlignHack 7\%\\
9 &
  Name of the DRUGS in \mbox{}\protect\newline CAPITAL letters &
  \cAlignHack 93\% &
  \cAlignHack 7\%\\
10 &
  Dose of the DRUG is clear &
  \cAlignHack 100\% &
  \cAlignHack 0\%\\
11 &
  UNITS of the dose is clear &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
12 &
  FREQUENCY Of the dose is clear &
  \cAlignHack 0\% &
  \cAlignHack 100\%\\
13 &
  DURATION of the \mbox{}\protect\newline THERAPY is mentioned &
  \cAlignHack 0\% &
  \cAlignHack 100\%\\
14 &
  Instructions to take the DRUG mentioned (i.e. Before food of After Food) &
  \cAlignHack 94\% &
  \cAlignHack 6\%\\
15 &
  Prescriber's initials &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
16 &
  Seal with MRC of the \mbox{}\protect\newline prescriber &
  \cAlignHack 71\% &
  \cAlignHack 29\%\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {Details of January} }
\label{tw-2ccd50ebf905}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.1431\linewidth-2\tabcolsep}p{\dimexpr.5382\linewidth-2\tabcolsep}p{\dimexpr.1566000000000001\linewidth-2\tabcolsep}p{\dimexpr.16209999999999997\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}{\multirow{2}{*}{\textbf{\textbf{S. No}}}} & {\multirow{2}{*}{\textbf{Variables}}} & \multicolumn{2}{p{\dimexpr(.31870000000000008\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{\textbf{January}}}\\
\rowcolor{kwdboxcolor} &  & \cAlignHack \textbf{\textbf{Yes}} & \cAlignHack \textbf{\textbf{No}}\\
\tblmidrule 
1 &
  Date of prescription  &
  \cAlignHack 98\% &
  \cAlignHack 2\%\\
2 &
  OP Number &
  \cAlignHack 58\% &
  \cAlignHack 42\%\\
3 &
  Name of the Patient &
  \cAlignHack 96\% &
  \cAlignHack 4\%\\
4 &
  Age of the Patient &
  \cAlignHack 53\% &
  \cAlignHack 47\%\\
5 &
  Sex &
  \cAlignHack 51\% &
  \cAlignHack 49\%\\
6 &
  Clinical Diagnosis  &
  \cAlignHack 8\% &
  \cAlignHack 92\%\\
7 &
  Dosage Form \mbox{}\protect\newline Mentioned &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
8 &
  Name of the DRUG is legible &
  \cAlignHack 96\% &
  \cAlignHack 4\%\\
9 &
  Name of the DRUGS in CAPITAL letters &
  \cAlignHack 51\% &
  \cAlignHack 49\%\\
10 &
  Dose of the DRUG is clear &
  \cAlignHack 74\% &
  \cAlignHack 26\%\\
11 &
  UNITS of the dose is clear &
  \cAlignHack 61\% &
  \cAlignHack 39\%\\
12 &
  FREQUENCY Of the dose is clear &
  \cAlignHack 96\% &
  \cAlignHack 4\%\\
13 &
  DURATION of the THERAPY is mentioned &
  \cAlignHack 91\% &
  \cAlignHack 9\%\\
14 &
  Instructions to take the DRUG mentioned (i.e. Before food of After Food) &
  \cAlignHack 97\% &
  \cAlignHack 3\%\\
15 &
  Prescriber's initials &
  \cAlignHack 97\% &
  \cAlignHack 3\%\\
16 &
  Seal with MRC of the prescriber &
  \cAlignHack 46\% &
  \cAlignHack 54\%\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {Details of February} }
\label{tw-08b86329ffd0}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.1622\linewidth-2\tabcolsep}p{\dimexpr.5325000000000001\linewidth-2\tabcolsep}p{\dimexpr.15279999999999998\linewidth-2\tabcolsep}p{\dimexpr.15250000000000004\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}{\multirow{2}{*}{\textbf{S. No}}} & {\multirow{2}{*}{\textbf{Variables}}} & \multicolumn{2}{p{\dimexpr(.3053\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{February}}\\
\rowcolor{kwdboxcolor} &  & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No}\\
\tblmidrule 
1 &
  Date of prescription &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
2 &
  OP Number &
  \cAlignHack 68\% &
  \cAlignHack 32\%\\
3 &
  Name of the Patient &
  \cAlignHack 98\% &
  \cAlignHack 2\%\\
4 &
  Age of the Patient &
  \cAlignHack 56\% &
  \cAlignHack 44\%\\
5 &
  Sex &
  \cAlignHack 55\% &
  \cAlignHack 45\%\\
6 &
  Clinical Diagnosis &
  \cAlignHack 0\% &
  \cAlignHack 100\%\\
7 &
  Dosage Form Mentioned &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
8 &
  Name of the DRUG is  \mbox{}\protect\newline legible &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
9 &
  Name of the DRUGS in \mbox{}\protect\newline CAPITAL letters &
  \cAlignHack 52\% &
  \cAlignHack 48\%\\
10 &
  Dose of the DRUG is clear &
  \cAlignHack 90\% &
  \cAlignHack 10\%\\
11 &
  UNITS of the dose is clear &
  \cAlignHack 82\% &
  \cAlignHack 18\%\\
12 &
  FREQUENCY Of the dose is clear &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
13 &
  DURATION of the THERAPY is mentioned &
  \cAlignHack 92\% &
  \cAlignHack 8\%\\
14 &
  Instructions to take the DRUG mentioned (i.e. Before food of After Food) &
  \cAlignHack 27\% &
  \cAlignHack 73\%\\
15 &
  Prescriber's initials &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
16 &
  Seal with MRC of the prescriber &
  \cAlignHack 54\% &
  \cAlignHack 46\%\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {Details of March} }
\label{tw-97918a65d272}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.1619\linewidth-2\tabcolsep}p{\dimexpr.5195\linewidth-2\tabcolsep}p{\dimexpr.15640000000000002\linewidth-2\tabcolsep}p{\dimexpr.1622\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}{\multirow{2}{*}{\textbf{S. No}}} & {\multirow{2}{*}{\textbf{Variables}}} & \multicolumn{2}{p{\dimexpr(.3186\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{March}}\\
\rowcolor{kwdboxcolor} &  & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No}\\
\tblmidrule 
1 &
  Date of prescription &
  \cAlignHack 96\% &
  \cAlignHack 4\%\\
2 &
  OP Number &
  \cAlignHack 71\% &
  \cAlignHack 29\%\\
3 &
  Name of the Patient &
  \cAlignHack 0\% &
  \cAlignHack 100\%\\
4 &
  Age of the Patient &
  \cAlignHack 66\% &
  \cAlignHack 34\%\\
5 &
  Sex &
  \cAlignHack 67\% &
  \cAlignHack 33\%\\
6 &
  Clinical Diagnosis &
  \cAlignHack 0\% &
  \cAlignHack 100\%\\
7 &
  Dosage Form Mentioned &
  \cAlignHack 2\% &
  \cAlignHack 98\%\\
8 &
  Name of the DRUG is legible &
  \cAlignHack 96\% &
  \cAlignHack 4\%\\
9 &
  Name of the DRUGS in CAPITAL letters &
  \cAlignHack 71\% &
  \cAlignHack 29\%\\
10 &
  Dose of the DRUG is clear &
  \cAlignHack 77\% &
  \cAlignHack 23\%\\
11 &
  UNITS of the dose is clear &
  \cAlignHack 73\% &
  \cAlignHack 27\%\\
12 &
  FREQUENCY Of the dose is clear &
  \cAlignHack 91\% &
  \cAlignHack 9\%\\
13 &
  DURATION of the THERAPY is mentioned &
  \cAlignHack 22\% &
  \cAlignHack 78\%\\
14 &
  Instructions to take the DRUG mentioned (i.e. Before food of After Food) &
  \cAlignHack 13\% &
  \cAlignHack 87\%\\
15 &
  Prescriber's initials &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
16 &
  Seal with MRC of the prescriber &
  \cAlignHack 64\% &
  \cAlignHack 36\%\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {Details of April} }
\label{tw-265f1c77fe6c}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.1527\linewidth-2\tabcolsep}p{\dimexpr.5267\linewidth-2\tabcolsep}p{\dimexpr.1538\linewidth-2\tabcolsep}p{\dimexpr.1668\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}{\multirow{2}{*}{\textbf{S. No}}} & {\multirow{2}{*}{\textbf{Variables}}} & \multicolumn{2}{p{\dimexpr(.3206\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{April}}\\
\rowcolor{kwdboxcolor} &  & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No}\\
\tblmidrule 
1 &
  Date of prescription &
  \cAlignHack 93\% &
  \cAlignHack 7\%\\
2 &
  OP Number &
  \cAlignHack 65\% &
  \cAlignHack 35\%\\
3 &
  Name of the Patient &
  \cAlignHack 95\% &
  \cAlignHack 5\%\\
4 &
  Age of the Patient &
  \cAlignHack 68\% &
  \cAlignHack 32\%\\
5 &
  Sex &
  \cAlignHack 72\% &
  \cAlignHack 28\%\\
6 &
  Clinical Diagnosis &
  \cAlignHack 2\% &
  \cAlignHack 98\%\\
7 &
  Dosage Form Mentioned &
  \cAlignHack 72\% &
  \cAlignHack 28\%\\
8 &
  Name of the DRUG is legible &
  \cAlignHack 88\% &
  \cAlignHack 12\%\\
9 &
  Name of the DRUGS in CAPITAL letters &
  \cAlignHack 64\% &
  \cAlignHack 36\%\\
10 &
  Dose of the DRUG is clear &
  \cAlignHack 52\% &
  \cAlignHack 48\\
11 &
  UNITS of the dose is clear &
  \cAlignHack 44\% &
  \cAlignHack 56\\
12 &
  FREQUENCY Of the dose is clear &
  \cAlignHack 71\% &
  \cAlignHack 29\\
13 &
  DURATION of the THERAPY is mentioned &
  \cAlignHack 29\% &
  \cAlignHack 71\\
14 &
  Instructions to take the DRUG mentioned (i.e. Before food of After Food) &
  \cAlignHack 5\% &
  \cAlignHack 95\\
15 &
  Prescriber's initials &
  \cAlignHack 71\% &
  \cAlignHack 29\\
16 &
  Seal with MRC of the prescriber &
  \cAlignHack 61\% &
  \cAlignHack 39\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {Details of May} }
\label{tw-f607dcb39db0}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.1684\linewidth-2\tabcolsep}p{\dimexpr.50800000000000004\linewidth-2\tabcolsep}p{\dimexpr.16300000000000004\linewidth-2\tabcolsep}p{\dimexpr.1606\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}{\multirow{2}{*}{\textbf{S. No}}} & {\multirow{2}{*}{\textbf{Variables}}} & \multicolumn{2}{p{\dimexpr(.3236\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{May}}\\
\rowcolor{kwdboxcolor} &  & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No}\\
\tblmidrule 
1 &
  Date of prescription &
  \cAlignHack 95\% &
  \cAlignHack 5\%\\
2 &
  OP Number &
  \cAlignHack 67\% &
  \cAlignHack 33\%\\
3 &
  Name of the Patient &
  \cAlignHack 97\% &
  \cAlignHack 3\%\\
4 &
  Age of the Patient &
  \cAlignHack 68\% &
  \cAlignHack 32\%\\
5 &
  Sex &
  \cAlignHack 85\% &
  \cAlignHack 15\%\\
6 &
  Clinical Diagnosis &
  \cAlignHack 99\% &
  \cAlignHack 1\%\\
7 &
  Dosage Form Mentioned &
  \cAlignHack 84\% &
  \cAlignHack 16\%\\
8 &
  Name of the DRUG is legible &
  \cAlignHack 93\% &
  \cAlignHack 7\%\\
9 &
  Name of the DRUGS in CAPITAL letters &
  \cAlignHack 66\% &
  \cAlignHack 34\%\\
10 &
  Dose of the DRUG is clear &
  \cAlignHack 64\% &
  \cAlignHack 36\%\\
11 &
  UNITS of the dose is clear &
  \cAlignHack 58\% &
  \cAlignHack 42\%\\
12 &
  FREQUENCY Of the dose is clear &
  \cAlignHack 80\% &
  \cAlignHack 20\%\\
13 &
  DURATION of the THERAPY is mentioned &
  \cAlignHack 33\% &
  \cAlignHack 67\%\\
14 &
  Instructions to take the DRUG mentioned (i.e. Before food of After Food) &
  \cAlignHack 8\% &
  \cAlignHack 92\%\\
15 &
  Prescriber's initials &
  \cAlignHack 83\% &
  \cAlignHack 17\%\\
16 &
  Seal with MRC of the prescriber &
  \cAlignHack 62\% &
  \cAlignHack 38\%\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {The Detailed Study of First 3 Months December-February months and were tabulated in Prescription Audit Data } }
\label{tw-8489f93fdd31}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.0686\linewidth-2\tabcolsep}p{\dimexpr.4297\linewidth-2\tabcolsep}p{\dimexpr.08589999999999998\linewidth-2\tabcolsep}p{\dimexpr.08299999999999999\linewidth-2\tabcolsep}p{\dimexpr.08760000000000002\linewidth-2\tabcolsep}p{\dimexpr.08400000000000002\linewidth-2\tabcolsep}p{\dimexpr.0821\linewidth-2\tabcolsep}p{\dimexpr.0791\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}{\multirow{3}{*}{\textbf{S. No}}} & {\multirow{3}{*}{\textbf{Variables}}} & \multicolumn{6}{p{\dimexpr(.5017\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{Percentage(\%)}}\\
\rowcolor{kwdboxcolor} &  & \multicolumn{2}{p{\dimexpr(.16889999999999997\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{Dec}} & \multicolumn{2}{p{\dimexpr(.17160000000000004\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{Jan}} & \multicolumn{2}{p{\dimexpr(.1612\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{Feb}}\\
\rowcolor{kwdboxcolor} &  & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No} & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No} & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No}\\
\tblmidrule 
1 &
  Date of Prescription &
  \cAlignHack 100 &
  \cAlignHack 0 &
  \cAlignHack 98 &
  \cAlignHack 2 &
  \cAlignHack 99 &
  \cAlignHack 1\\
2 &
  OP Number &
  \cAlignHack 66 &
  \cAlignHack 34 &
  \cAlignHack 58 &
  \cAlignHack 42 &
  \cAlignHack 68 &
  \cAlignHack 32\\
3 &
  Name of the Patient &
  \cAlignHack 96 &
  \cAlignHack 4 &
  \cAlignHack 96 &
  \cAlignHack 4 &
  \cAlignHack 98 &
  \cAlignHack 2\\
4 &
  Age of the Patient &
  \cAlignHack 70 &
  \cAlignHack 30 &
  \cAlignHack 53 &
  \cAlignHack 47 &
  \cAlignHack 56 &
  \cAlignHack 44\\
5 &
  Sex &
  \cAlignHack 72 &
  \cAlignHack 28 &
  \cAlignHack 51 &
  \cAlignHack 49 &
  \cAlignHack 55 &
  \cAlignHack 45\\
6 &
  Clinical Diagnosis &
  \cAlignHack 2 &
  \cAlignHack 98 &
  \cAlignHack 8 &
  \cAlignHack 92 &
  \cAlignHack 0 &
  \cAlignHack 100\\
7 &
  Dosage Form Mentioned &
  \cAlignHack 0 &
  \cAlignHack 100 &
  \cAlignHack 99 &
  \cAlignHack 1 &
  \cAlignHack 99 &
  \cAlignHack 1\\
8 &
  Name of the DRUG is legible &
  \cAlignHack 93 &
  \cAlignHack 7 &
  \cAlignHack 96 &
  \cAlignHack 4 &
  \cAlignHack 99 &
  \cAlignHack 1\\
9 &
  Name of the DRUGS in CAPITAL letters &
  \cAlignHack 93 &
  \cAlignHack 7 &
  \cAlignHack 51 &
  \cAlignHack 49 &
  \cAlignHack 52 &
  \cAlignHack 48\\
10 &
  Dose of the DRUG is clear &
  \cAlignHack 100 &
  \cAlignHack 0 &
  \cAlignHack 74 &
  \cAlignHack 26 &
  \cAlignHack 90 &
  \cAlignHack 10\\
11 &
  UNITS of the dose is clear &
  \cAlignHack 99 &
  \cAlignHack 1 &
  \cAlignHack 61 &
  \cAlignHack 39 &
  \cAlignHack 82 &
  \cAlignHack 18\\
12 &
  FREQUENCY Of the dose is clear &
  \cAlignHack 0 &
  \cAlignHack 100 &
  \cAlignHack 96 &
  \cAlignHack 4 &
  \cAlignHack 99 &
  \cAlignHack 1\\
13 &
  DURATION of the THERAPY is mentioned &
  \cAlignHack 0 &
  \cAlignHack 100 &
  \cAlignHack 91 &
  \cAlignHack 9 &
  \cAlignHack 92 &
  \cAlignHack 8\\
14 &
  Instructions to take the DRUG mentioned (i.e. Before food of After Food) &
  \cAlignHack 94 &
  \cAlignHack 6 &
  \cAlignHack 97 &
  \cAlignHack 3 &
  \cAlignHack 27 &
  \cAlignHack 73\\
15 &
  Prescriber's initials &
  \cAlignHack 99 &
  \cAlignHack 1 &
  \cAlignHack 97 &
  \cAlignHack 3 &
  \cAlignHack 99 &
  \cAlignHack 1\\
16 &
  Seal with MRC of the prescriber &
  \cAlignHack 71 &
  \cAlignHack 29 &
  \cAlignHack 46 &
  \cAlignHack 54 &
  \cAlignHack 54 &
  \cAlignHack 46\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {The Detailed Study of Next 3 Months March-May months and were tabulated in Prescription Audit Data } }
\label{tw-52be64a60aab}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.070600000000000005\linewidth-2\tabcolsep}p{\dimexpr.4209000000000001\linewidth-2\tabcolsep}p{\dimexpr.08920000000000002\linewidth-2\tabcolsep}p{\dimexpr.08820000000000004\linewidth-2\tabcolsep}p{\dimexpr.08600000000000001\linewidth-2\tabcolsep}p{\dimexpr.0832\linewidth-2\tabcolsep}p{\dimexpr.0809\linewidth-2\tabcolsep}p{\dimexpr.081\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}{\multirow{3}{*}{\textbf{S. No}}} & {\multirow{3}{*}{\textbf{Variables}}} & \multicolumn{6}{p{\dimexpr(.50850000000000016\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{Percentage(\%)}}\\
\rowcolor{kwdboxcolor} &  & \multicolumn{2}{p{\dimexpr(.17740000000000006\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{Mar}} & \multicolumn{2}{p{\dimexpr(.1692\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{Apr}} & \multicolumn{2}{p{\dimexpr(.16189999999999998\linewidth-2\tabcolsep)}}{\cAlignHack \textbf{May}}\\
\rowcolor{kwdboxcolor} &  & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No} & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No} & \cAlignHack \textbf{Yes} & \cAlignHack \textbf{No}\\
\tblmidrule 
1 &
  Date of Prescription &
  \cAlignHack 96 &
  \cAlignHack 4 &
  \cAlignHack 93 &
  \cAlignHack 7 &
  \cAlignHack 95 &
  \cAlignHack 5\\
2 &
  OP Number &
  \cAlignHack 71 &
  \cAlignHack 29 &
  \cAlignHack 65 &
  \cAlignHack 35 &
  \cAlignHack 67 &
  \cAlignHack 33\\
3 &
  Name of the Patient &
  \cAlignHack 0 &
  \cAlignHack 100 &
  \cAlignHack 95 &
  \cAlignHack 5 &
  \cAlignHack 97 &
  \cAlignHack 3\\
4 &
  Age of the Patient &
  \cAlignHack 66 &
  \cAlignHack 34 &
  \cAlignHack 68 &
  \cAlignHack 32 &
  \cAlignHack 68 &
  \cAlignHack 32\\
5 &
  Sex &
  \cAlignHack 67 &
  \cAlignHack 33 &
  \cAlignHack 72 &
  \cAlignHack 28 &
  \cAlignHack 85 &
  \cAlignHack 15\\
6 &
  Clinical Diagnosis &
  \cAlignHack 0 &
  \cAlignHack 100 &
  \cAlignHack 2 &
  \cAlignHack 98 &
  \cAlignHack 99 &
  \cAlignHack 1\\
7 &
  Dosage Form Mentioned &
  \cAlignHack 2 &
  \cAlignHack 98 &
  \cAlignHack 72 &
  \cAlignHack 28 &
  \cAlignHack 84 &
  \cAlignHack 16\\
8 &
  Name of the DRUG is legible &
  \cAlignHack 96 &
  \cAlignHack 4 &
  \cAlignHack 88 &
  \cAlignHack 12 &
  \cAlignHack 93 &
  \cAlignHack 7\\
9 &
  Name of the DRUGS in CAPITAL letters &
  \cAlignHack 71 &
  \cAlignHack 29 &
  \cAlignHack 64 &
  \cAlignHack 36 &
  \cAlignHack 66 &
  \cAlignHack 34\\
10 &
  Dose of the DRUG is clear &
  \cAlignHack 77 &
  \cAlignHack 23 &
  \cAlignHack 52 &
  \cAlignHack 48 &
  \cAlignHack 64 &
  \cAlignHack 36\\
11 &
  UNITS of the dose is clear &
  \cAlignHack 73 &
  \cAlignHack 27 &
  \cAlignHack 44 &
  \cAlignHack 56 &
  \cAlignHack 58 &
  \cAlignHack 42\\
12 &
  FREQUENCY Of the dose is clear &
  \cAlignHack 91 &
  \cAlignHack 9 &
  \cAlignHack 71 &
  \cAlignHack 29 &
  \cAlignHack 80 &
  \cAlignHack 20\\
13 &
  DURATION of the THERAPY is mentioned &
  \cAlignHack 22 &
  \cAlignHack 78 &
  \cAlignHack 29 &
  \cAlignHack 71 &
  \cAlignHack 33 &
  \cAlignHack 67\\
14 &
  Instructions to take the DRUG mentioned (i.e. Before food of After Food) &
  \cAlignHack 13 &
  \cAlignHack 87 &
  \cAlignHack 5 &
  \cAlignHack 95 &
  \cAlignHack 8 &
  \cAlignHack 92\\
15 &
  Prescriber's initials &
  \cAlignHack 99 &
  \cAlignHack 1 &
  \cAlignHack 71 &
  \cAlignHack 29 &
  \cAlignHack 83 &
  \cAlignHack 17\\
16 &
  Seal with MRC of the prescriber &
  \cAlignHack 64 &
  \cAlignHack 36 &
  \cAlignHack 61 &
  \cAlignHack 39 &
  \cAlignHack 62 &
  \cAlignHack 38\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}
On occasion, a solitary specialist needs to treat several patients in medical clinic\unskip~\citep{844761:19934632}. This is especially clear in government medical clinics. So the explanation behind such sort of medicine composing might be credited to over-burden of patients thus specialists should not generally be censured\unskip~\citep{844761:19934635}
    
\section{Materials and Methods}
\textbf{Study Location;}

The study was conducted at a tertiary care teaching hospital, Mysore. The hospital has state of art infrastructure with 37 speciality and super specialty services. Hospital also provides critical and emergency care services round the clock with 260 beds\unskip~\citep{844761:19934637}.

\textbf{Study area}

The study was conducted at the outpatient pharmacy department.

\textbf{Study period}

Study was conducted for a period of 6 months from December-May 2019.

\textbf{Data collection methods}:

Data was collected for the study in 2 ways,

1. Retrospective

2. Prospective

\textbf{Retrospective data:}

Retrospective data were collected from clinical pharmacy department of the hospital\unskip~\citep{844761:19934628}.

\textbf{Prospective data:}

Prescription was collected irrespective of diagnosis, age, gender, etc across various departments of the hospital\unskip~\citep{844761:19934624}.we took photographs of the prescription using digital camera. A total of 2825 prescriptions were randomly collected from out patients visiting the study site, and analysed\unskip~\citep{844761:19934636}.
    
\section{Results and Discussion}
The study was carried out for the duration of 6 months and were tabulated in Prescription Audit Data Table

\textbf{December}

A sum of 442 Prescriptions were arbitrarily gathered from out patients visiting the examination site, and investigated. All solutions apparently had some missing/indistinct data Missing data about patient and prescription was regularly found in this examination detail Result are Presented in Table~\ref{tw-27b4ffb4c276}

\textbf{January}

A sum of 535 Prescriptions was arbitrarily gathered from out patients visiting the examination site, and investigated. All solutions supposedly had some missing/indistinct data. Missing data about patient and drugs was ordinarily found in this investigation. Detail Result are Presented in Table~\ref{tw-2ccd50ebf905}

\textbf{February}

A sum of 557 prescriptions was arbitrarily gathered from out patients visiting the investigation site, and dissected. All remedies apparently had some missing/indistinct data. Missing data about patients and drugs was ordinarily found in this investigation. Detail Result are Presented in Table~\ref{tw-08b86329ffd0}

\textbf{March}

An aggregate of 370 solutions was arbitrarily gathered from out patients visiting the investigation site, and broke down. All solutions supposedly had some missing/hazy data. Missing data about patients and prescriptions was regularly found in this investigation. Detail Result are Presented in Table~\ref{tw-97918a65d272}

\textbf{April }

A sum of 421 remedies was arbitrarily gathered from out patients visiting the examination site, and dissected. All remedies apparently had some missing/indistinct data. Missing data about patients and prescriptions was ordinarily found in this investigation. Detail Result are Presented in Table~\ref{tw-265f1c77fe6c}

\textbf{May}

A sum of 500 prescriptions was arbitrarily gathered from out patients visiting the examination site, and Analyzed. Every remedies supposedly had some missing/hazy data. Missing data about patients and medicine was normally found in this investigation. Detail Result are Presented in Table~\ref{tw-f607dcb39db0}

\textbf{December-May}

A total of 2825 prescriptions were randomly collected from out patients visiting the study site and analysed during this Six Months Period. All remedies apparently had some missing/indistinct data. Missing data about patients and prescriptions was ordinarily found in this investigation. Detail Result are Presented in Tables~\ref{tw-8489f93fdd31} and~\ref{tw-52be64a60aab} respectively.
    
\section{Conclusions}
The study highlights that most of the critical factors, which is mandated by MCI (medical council of India) are not being followed by doctors during prescription writing. Further, nearly 99 \% were clinical diagnosis less prescribers did not mention the frequency of dose, instruction to take the drug, and seal with the MRC of the prescribers, which may lead to adverse drug reaction or mis-distribution of drugs. To sum up, it is highly advisable for the prescribers to follow MCI standard protocol, so as to avoid undesirable outcomes in near future. 
\section*{Acknowledgement}The authors are grateful to the Tertiary care teaching Hospital Mysore and its staff Members especially outpatient pharmacy department for their support to conduct of our study and providing facility for this research work. 

\textbf{Conflict of Interest}

The authors declare that they have no conflict of interest for this study.

\textbf{Funding Support}

The authors declare that they have no funding support for this study. 
    

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