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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-89Enhancing Guideline Adherence among Primary Care Doctors in Hypertension:Effectiveness of a Hypertension Management Toolkit (IMPPROV-BP)Anusha M1, Beatrice JNL2, Hazwan MD3, Salbiah MI1, Norasnita N1, Tan SF3, Ho BK11 Klinik Kesihatan Bandar Botanic, Selangor2 Klinik Kesihatan Kampung Bandar, Selangor3Institut Penyelidikan Penuaan Malaysia, Universiti Putra Malaysia, Selangor4 Klinik Kesihatan Pelabuhan Klang, SelangorSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Most hypertensive patients are treated in busy primary care clinics, making guideline adherencechallenging. Evidence shows that following guidelines enhances patient management and aids in bloodpressure control.KEY MEASURES OF IMPROVEMENTS:The improvement involves using a hypertension clerking sheet and management algorithm to enhanceadherence to the Malaysian Clinical Practice Guidelines (CPG) for hypertension. The effectiveness of theHMTK will be evaluated through pre- and post-intervention audit scores based on the Model of GoodCare (MOGC).PROCESS OF GATHERING INFORMATION:The research team developed a hypertension clerking sheet, a quick guide algorithm, and an audit sheet.Medical records of 392 patients from two primary care clinics in Klang, all on three or moreantihypertensive medications, were audited pre- and post-intervention, six months apart.ANALYSIS AND INTERPRETATION:Nonadherence to guidelines occur due limited awareness, perceived irrelevance, poor formatting, andtime constraints in busy clinics. Absence of standardised clerking sheets further hinders adherence.Evidence shows that structured clerking sheets and treatment algorithms can effectively improveguideline complianceSTRATEGIES OF CHANGE:Our objective is to improve doctors' adherence to guidelines using the Hypertension Management ToolKit (HMTK) using a structured hypertension clerking sheet with the electronic medical record and theavailability of a quick reference management algorithm at each doctor%u2019s computer for easy referenceduring consultation.EFFECT OF CHANGE:After the usage of the HMTK among statistically significant improvement in the MOGC score was seenamong doctors with <5 years of service; 69.25 (14.91) to 87.15 (6.48) while >5 years of service; 73.49(14.28) to 89.61 (5.15). Results show that the HMTK can improve adherence to the guideline of doctorsTHE NEXT STEP:The HMTK should be implemented in other primary care to ensure adherence to guideline amongdoctors.185 | Page