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Updated: Apr 30, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Drug utilization patterns in the emergency department: A retrospective study
K A Al Balushi1, S Al-Shibli1, I Al-Zakwani2
1Department of Pharmacology and Clinical Pharmacy, College of Medicine and Health Sciences, Sultan Qaboos University, Al-Khod, Oman.
Non-steroidal anti-inflammatory drugs (NSAIDs) were most frequently prescribed in the emergency department (ED). Strategies to optimize medication use are important for improving patient care and managing drug costs in the ED.
Area of Science:
- Pharmacology
- Health Services Research
- Emergency Medicine
Background:
- Drug prescribing patterns and associated costs in emergency departments (EDs) are critical for resource allocation and patient safety.
- Understanding these trends in tertiary care settings like Sultan Qaboos University Hospital (SQUH) is essential for developing targeted interventions.
Purpose of the Study:
- To analyze drug prescribing trends in the ED of SQUH, Muscat, Oman.
- To evaluate the associated medication costs during the study period.
Main Methods:
- A retrospective cross-sectional study was conducted on 300 patients attending the ED at SQUH in May 2012.
- Descriptive and univariate statistical analyses were employed to examine prescribing data and costs.
Main Results:
- Non-steroidal anti-inflammatory drugs (NSAIDs) were the most common drug class (38%).
- The average number of drugs per patient was 3.2, with oral administration being the most frequent route (51%).
- Anti-infective drugs incurred the highest costs, with morphine, cefuroxime, and filgrastim being the most expensive individual drugs.
Conclusions:
- NSAIDs are the predominant drug class used in the ED.
- Medication costs are significantly influenced by patient age, ED length of stay, and emergency type.
- Implementing strategies to optimize medication use in the ED is crucial for cost-effectiveness and improved patient outcomes.
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