Implementing Patient Safety in Indian Cliical Practice

Nagappa, Anantha Naik and Sam, Kishore Gnana and Kadam, Manish S and Bhusare, Kiran M and Wal, Pranay (2008) Implementing Patient Safety in Indian Cliical Practice. The Pharma Review. pp. 89-96.

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Patient safety is a serious global public health issue. Clinical practice in India being poorly organized and there is no systematic documentation of clinical practice. Limited resources of health care facility have a negative impact on the performance of the health care system. Clinical practice in modern times has become highly complex due to conflicting interests from stakeholders and providers. The Government, Pharmaceutical industry, Regulatory bodies, Corporate hospitals are stakeholders and where as doctors, pharmacist and nurses are main providers. A largely unregulated private sector in India is one of the greatest challenges for government regulation. For lack of policies and resources, governments have trouble in fulfilling their core responsibility of provision of health and patient safety. Universally health professionals are reluctant to register or talk publicly about adverse events and medical errors for fear of embarrassment, punishment and malpractice litigation. Incident patterns thus go unnoticed and weaknesses in the system stand uncorrected. The Relationships between members of the health team tend to be highly hierarchical and non-confrontational. Indian clinical practice can be described as dominant doctors, thumbs down pharmacist and submissive nurses. This results in oneway communication in clinical setting which has negative impact on patient safety. The Pharmaceutical industry focuses on commerce and Government aims to regulate cost effective and safe drug therapy. There are more than l00000 branded drugs with just 500 molecules. The manufactures of branded drugs extensively compete with each other for market share. The current marketing strategy employed by pharmaceutical industries directly or indirectly influences prescribing habits of doctors. India being developing country, the government has preferred Industrial practice than patient safety. This has resulted in gross confusion among public and providers of health care regarding the status of drugs in diseases. The time has come now to change the priorities for the patients instead of drugs. The assessment of patient safety and implementation of patient safety program in clinical care is the requirement of the day.

Item Type: Article
Subjects: Pharmacy > MCOPS Manipal > Pharmacy Practice
Depositing User: KMC Manipal
Date Deposited: 15 Mar 2012 11:18
Last Modified: 15 Mar 2012 11:18

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