[Quality in compliance and prescription of nursing treatment orders for injectable drugs].
OBJECTIVE
To analyse the quality of prescription and compliance with nursing treatment orders (NTOs) in primary care teams (PCTs), in order to identify potential problems and establish interventions.


METHODS
Observational, crossover study.


METHODS
Three health districts in Santa Coloma de Gramenet.


METHODS
NTO forms for injectable medication referred to nursing from PCTs between March 1 and November 30, 1996.


RESULTS
1,088 NTO sheets containing 1,119 prescriptions were evaluated. 64.61% of the NTOs came from PCTs. Compliance with the NTO on the length of treatment (63.33%), on length and guidelines taken together (58.00%) and on allergies to medicine (28.31%) was deficient. The most prescribed therapeutic groups were medicines for the locomotive apparatus (36.10%) and drugs for infections (24.66%). 56.03% of prescriptions had high intrinsic value. It was difficult to justify 72.48% of prescriptions.


CONCLUSIONS
Deficiencies were detected in compliance with NTOs, due to the absence of information which was vital for correct administration. There was low-quality prescription and over-use of parenteral administration.
de León
R
R
Médicos de Medicina General de EAP.
Iglesias
B
B
Martínez
M J
MJ
Morató
T
T
Morros
R
R
Fabregat
A
A
D018592:Cross-Over Studies; D011307:Drug Prescriptions; D006801:Humans; D007267:Injections; D009731:Nursing Audit / Q000592:standards*; D009732:Nursing Care / Q000592:standards*; D011320:Primary Health Care / Q000592:standards; D011787:Quality of Health Care; D013030:Spain
Calidad en la cumplimentación y prescripción de las órdenes de tratamiento de enfermería para medicación inyectable.