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. 2022 Apr 6;22:448. doi: 10.1186/s12913-022-07884-9

Table 4.

Types and examples of discrepancies

Types of Discrepancies N % examples of discrepancies
Intolerance 131 25.7 NSAIDs (ibuprofen, celecoxib, et al.) prescribed for patients with severe renal impairment; aspirin (or clopidogrel) prescribed before surgery; continued use of antihypertensives should not be ordered (reserpine) before surgery; anticoagulants prescribed for patients with extensive ecchymosis after surgery
Omission 112 22.1 Metformin for type II diabetic patients; sedatives for patients with delirium after surgery; medication for hypertension after surgery; prophylactic antibiotics before surgery; mono-drug therapy for uncontrolled pain; omission of antifungals for infection by fungus; omission of perioperative glucocorticoids in patients with adrenocortical hypofunction (caused by long term irrational use of glucocorticoids)
Prolonged duration of therapy 70 13.8 Prolonged use of prophylactic antibiotics /Analgesics/Anti-Emetics/iron saccharate
Discrepancy in drug dose/ route/ frequency 66 13.0 Continued use of current vancomycin dose/frequency with trough drug concentration outside therapeutic range; once daily LMWH for patients with deep vein thrombosis; once/twice daily cephalosporins or piperacillin tazobactam; levofloxacin 200 mg once daily
Drug duplication 61 12.1 Rivaroxaban, aspirin and low molecular heparin were used as a combination for patients with deep vein thrombosis and coronary heart disease; Flurbiprofen(Patient controlled analgesia)and parecoxib(IV push)were prescribed after surgery
Commission 35 6.9 Moxifloxacin prescribed for urinary tract infection; Cefuroxime prescribed for infection of methicillin-resistant Staphylococcus aureus
Drug Interaction 25 4.9 Rivaroxaban prescribed with voriconazole(or rifampin)
Uncategorized 8 1.6 Patients had been using painkillers bought from Thailand which contained 5 mg of dexamethasone per pill. As pharmacist obtained this information from patients, serum cortisol level was checked upon pharmacist' advice and adrenocortical hypofunction was later diagnosed with this patient. Intravenous corticosteroid was then prescribed perioperatively
Total 506 100