Management 3: Prescribing (a) Technical
|The doctor is prepared to prescribe without having enough information about either the patient or the drug; therefore does so unsafely, unnecessarily, or uneconomically.
||The doctor, having obtained all appropriate information, prescribes appropriately and cost effectively, with due regard to hazards and consideration of alternative forms of management.
|Has little understanding of this.
||Attempts to do this but is not yet skilful and sometimes runs into difficulty.
||Attempts to do this and is usually successful but recognises his/her limitations.
||Prescribes only after consideration of all forms of management.
||Prescribes only after adequate information gathering.
||Prescribes the most appropriate drug.
||Prescribes in the appropriate form and quantity.
||Prescribes cost effectively.
||Prescribes with due regard to hypersensitivity, drug interaction and side effects.
Notes for raters
This area of behaviour can be assessed by record review and case discussion,but is particularly amenable to the use of audit projects logging or carboncopying prescriptions.
See Appendix D for the interpersonal aspects ofprescribing.