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Question-ERR® - January 2004
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Issues Related to Directions for Medication Orders

Country of Practice
USA 66%
International 17%

1. Do you ever see written prescriptions for medications with no directions for use?

No 8%
Yes 71%

2. What do you do if you receive a prescription without directions for use?

a. Provide the usual and customary directions for that medication (if usual and customary directions exist) 33%
b. Provide directions based upon the patient profile and past prescriptions 23%
c. Verify the directions with the physician 85%
d. Verify the directions with the patient 33%
e. Place "as directed" on the label 26%
f. Other 11%

3. Have you received prescriptions with directions that are expressed different from what is considered the "acceptable" manner (e.g., TD for three times daily?)

No 44%
Yes 34%

4. What do you do if you receive a prescription with unusual letters/numbers indicating the frequency of drug administration?

a. Interpret the directions according to "clinical judgment" and then fill the medication order/prescription 17%
b. Make changes according to the patient profile or previous prescriptions 13%
c. Verify the directions with the physician 70%
d. Verify the directions with the patient 21%
e. Other 5%