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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-110To Increase the Percentage of Good Practices in Antibiotic Prescription for Patientsat Out-Patient Department (OPD), Klinik Kesihatan (KK) Kuala Krau, TemerlohSajidahyusrina Z%u00b9, Noordini AN%u00b9, Mariah D%u00b2, Nur Rashidah M%u00b9, Mohd Hanis S%u00b9, Siti Nurana MF%u00b9, KhairulAzmi Suhaimi S%u00b9, Sharifah Mahani SMA%u00b2%u00b9 Klinik Kesihatan Kuala Krau, Pahang%u00b2 Pejabat Kesihatan Daerah Temerloh, PahangSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Antibiotics are prescribed to treat infection. However, prescribing antibiotics non-judiciously leads toantibiotic resistance, allergies, and side effects. To ensure antibiotics are prescribed as indicated, a yearlyAnti-Microbial Clinical Audit (AMCA) is done in all Health Clinic. However, AMCA done in KK KualaKrau in two consecutive years showed performance below standard. A verification study showed that theaudit score was 55%.KEY MEASUREMENT FOR IMPROVEMENT:A good antibiotic prescription practice in a Health Clinic is defined as scoring %u226580% for each prescriber.The standard is %u226580% of the prescriber%u2019s audit score of %u226580%.PROCESS OF GATHERING INFORMATION:A cross-sectional study was conducted using universal sampling of 30 outpatient records using AMCAform.ANALYSIS AND INTERPRETATION:A pre-remedial study showed poor antibiotics prescription practices among Medical Officers (MOs) with60% (2022) and 56% (2023) achieving this. A survey done among MOs in KK Kuala Krau showed onlyfive out of 10 MOs in KK Kuala Krau had good knowledge on common infections in primary care. Aquestionnaire survey among healthcare staff showed that 57% were unaware of correct sample collectionand 28% didn%u2019t take complete history and documentation. Then, a questionnaire survey among patientsshowed that 40% had correct understanding regarding antibiotics usage.STRATEGIES FOR CHANGE:Strategies developed were a quick reference note for MOs, Continuous Medical Education (CME) andCase-Based-Discussions (CBD) for healthcare staffs, allergic history and scoring criteria stamps forsimplify clerking on outpatient records, specimens%u2019 collections guidance posters for patients andhealthcare staffs, and antibiotic resistance and timing of antibiotics administration posters for patients.EFFECTS OF CHANGE:AMCA performance in KK Kuala Krau gradually improved from 56% to 90.1%. Achievable Benefit NotAchieved (ABNA) reduced from 24% to -10.1 %. Thus, we successfully achieved the AMCA%u2019s standard.THE NEXT STEP:We hope to implement more cycles of this QA to maintain good antibiotic prescriptions among MOs. Thiswill ensure that patients receive accurate and safe treatment at primary care.203 | Page