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[Quality of medical order writing in general practice facilities (Sousse, Tunisia)]
Ahmed Ben Abdelaziz1, Khaled Gaha, Yamina Mhamdi
1Service d'Epidémiologie et de Statistiques Médicales, Centre Hospitalo-Universitaire Farhat Hached de Sousse, Sousse, Tunisie. ahmed_epidemio@yahoo.fr
Background:
A medical order is a medical and legal document; careful writing of this document enables the reduction of many therapeutic errors.
Objective:
The objective of this study was to evaluate the quality of order writing in Tunisian primary healthcare centres.
Methods:
This was a transversal descriptive survey of 2586 medical orders. The quality of the writing was assessed using two parameters: its legibility and the information delivered in it.
Results:
Among the main results, 36% of orders contained at least 50% of the items retained, 25% of orders were completely illegible, and the quality of writing was considered good in 14% of cases.
Discussion:
The study showed that hand-written orders in primary healthcare are far from complying with the medico-legal requirements. The teaching of order-writing technique and its computerisation are needed to improve the quality of medical prescribing.
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