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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-77Improving the Percentage of Medication Counselling for Breastfeeding Mother(BFM) in Outpatient Pharmacy Department (OPD) Hospital Banting (HBT)Nur Atiqah S1, Amelia Hidayah S1, Nor Amira M1, Nurul Auni Afifa M1, Arlene J1, Patrick Naveen S21Pharmacy Department, Hospital Banting, Selangor2 Obstetrics & Gynaecology Department, Hospital Banting, SelangorSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:In 2020, no counselling was conducted for Breastfeeding Mother (BFM) although OPD recorded 3000medication counselling annually. This may lead to medication error, increase premature breastfeedingcessation among postpartum mothers taking medications and increase the risk of maternal and childmortality.KEY MEASURES FOR IMPROVEMENT:The indicator is the percentage of medication counselling for BFM receiving treatment visiting OPDPharmacy. Standard is 75% based on consensus in Pharmacy Management Meeting No 1/21.PROCESS OF GATHERING INFORMATION:A quality improvement study was conducted using universal sampling from February 2021 untilSeptember 2023. All BFM visiting OPD who received medications and met the inclusion criteria wereincluded in this study. Contributing factors were identified using self-administered questionnaires amongpharmacists and a researcher-assisted questionnaire was used to assist patients in collecting the data.ANALYSIS AND INTERPRETATION:The verification study recorded that only 11.3% of BFM (n=80) visiting OPD was counselled. The maincontributing factors were the staff%u2019s poor knowledge (38 %), unable to identify breastfeeding status(16.7%), lack of confidence (16.7%) and multiple references (16.2%).STRATEGIES FOR CHANGE:There were 10 strategies implemented throughout two cycles. MAMAMED was developed as lactationmedication references from established resources. LACTSTICKER were displayed at medication bin,developed from Dr Hale%u2019s lactation risk categories. MAMASIGNAGE was designed to promote patientsto identify herself as BFM during screening process. Patient education leaflets, breastfeeding medicationcounselling checklists, education video and continuous medication education (CME) were also developed.More strategies were conducted in Cycle 2 such as MAMAREF which is MAMAMED extendedreferences, MAMASTAMP to help identify BFM during screening process, Radio Talk and CommunityOutreach Programme.EFFECT OF CHANGE:The percentage was increased from 11.3% to 66.2% in cycle 1, then improved to 97.3% in cycle 2.Achievable Benefit Not Achieved was improved from 63.7% to 8.75% and finally -22.3%.THE NEXT STEP:The next step is to be upgraded MAMAMED to a mobile application and expanded to health facilities inSelangor.174 | Page