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Table 4 Index of rational drug use in two tertiary care hospitals of Bahawalpur

From: Assessment of WHO/INRUD core drug use indicators in two tertiary care hospitals of Bahawalpur, Punjab, Pakistan

IRDU   OPDs
   Gynecology Ophthalmology Dermatology ENT Surgery Pulmonology Dental Cardiology Pediatrics Medical
Prescribing Indicators
 Non-polypharmacy index BVH 0.58 1.00 0.82 0.56 0.56 0.49 0.64 0.40 0.72 0.56
Civil 0.64 1.00 0.64 0.64 0.67 0.90 0.72 0.44 0.60 0.72
 Generic name index BVH 0.66 0.28 0.44 0.72 0.62 0.56 0.45 0.53 0.57 0.65
Civil 0.51 0.84 0.54 0.62 0.56 0.56 0.39 0.67 0.53 0.59
 Rational antibiotic index BVH 0.71 0.56 0.56 0.34 0.31 0.49 0.28 1.00 0.41 0.69
Civil 0.62 0.37 0.76 0.48 0.95 1.00 0.28 1.00 0.32 0.56
 Injection safety index BVH 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Civil 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
 Essential drugs list index BVH 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Civil 0.87 0.99 0.99 1.00 0.99 0.98 0.99 0.95 0.99 1.00
 IRDP BVH 3.95 3.84 3.82 3.62 3.49 3.54 3.37 3.93 3.70 3.90
Civil 3.64 4.20 3.93 3.74 4.17 4.44 3.38 4.06 3.44 3.87
 Rank BVH 1 4 5 7 9 8 10 2 6 3
Civil 8 2 5 7 3 1 10 4 9 6
Patient-Care Indicators
 Consultation time index BVH 0.22 0.07 0.11 0.09 0.11 0.13 0.17 0.16 0.14 0.11
Civil 0.09 0.06 0.07 0.07 0.21 0.21 0.07 0.24 0.07 0.07
 Dispensing time index BVH 0.09 0.05 0.10 0.08 0.19 0.08 0.09 0.21 0.07 0.20
Civil 0.07 0.06 0.06 0.07 0.08 0.09 0.07 0.10 0.08 0.08
 Dispensed drugs index BVH 1.00 1.00 0.67 0.94 1.00 0.97 1.00 1.00 0.86 1.00
Civil 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
 Labeled drugs index BVH 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Civil 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
 Patients’ knowledge index BVH 0.47 0.87 0.73 0.27 1.00 0.70 0.40 0.67 0.47 0.67
Civil 0.73 0.67 0.70 0.50 0.67 0.47 0.60 0.50 0.60 0.63
 IRPCDU BVH 2.78 2.99 2.61 2.38 3.30 2.88 2.66 3.04 2.54 2.98
Civil 2.89 2.79 2.83 2.64 2.96 2.77 2.74 2.84 2.75 2.78
 Rank BVH 6 3 8 10 1 5 7 2 9 4
Civil 2 5 4 10 1 7 9 3 8 6
Facility-Specific Indicators
 Index of EDL BVH 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Civil 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
 Index of key drugs in stock BVH 1.00 0.43 0.50 1.00 0.50 0.71 0.75 0.75 1.00 0.75
Civil 0.80 0.86 0.75 0.71 0.75 0.71 0.50 0.75 0.67 0.58
 IRFSDU BVH 2.00 1.43 1.50 2.00 1.5 1.71 1.75 1.75 2.00 1.75
Civil 1.80 1.86 1.75 1.71 1.75 1.71 1.50 1.75 1.67 1.58
 Rank BVH 1 5 4 1 4 3 2 2 1 2
Civil 2 1 3 4 3 4 7 3 5 6
Grand Total
 IRDU BVH 8.73 8.26 7.93 8.00 8.29 8.13 7.78 8.72 8.24 8.63
Civil 8.33 8.85 8.51 8.09 8.88 8.92 7.62 8.65 7.86 8.23
 Rank BVH 1 5 9 8 4 6 10 2 7 3
Civil 6 3 5 8 2 1 10 4 9 7
  1. OPD outpatient department, EDL essential drugs list, BVH Bahawal Victoria Hospital, ENT, ear, nose & throat, IRDP index of rational drug prescribing, IRPCDU, index of rational patient-care drug use, IRFSDU index of rational facility-specific drug use, IRDU index of rational drug use