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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-138Towards Zero Percentage of Uncollected Drug Allergy Card in Hospital TengkuAmpuan Afzan (HTAA), KuantanSiti Aisyah MY, Nurnajmul Ummah AI, Nor Akma Idayu MY, Siti Sarah I, Noraini MNPharmacy Department, Hospital Tengku Ampuan Afzan, PahangSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:The Drug Allergy Card (DAC) implemented in Malaysia aims to facilitate the communication of patients'drug allergy histories. However, from January - September 2023, 36.8% (n=66) of DACs wereuncollected at Hospital Tengku Ampuan Afzan (HTAA). The medication error registry at HTAA from2020 - 2022 reported two cases of harm from known allergenic medications. This project aims to identifyfactors contributing to uncollected DACs, propose remedial actions, and work towards achieving zeropercentage of uncollected DACs.KEY MEASURES FOR IMPROVEMENT:The indicator for this project was the percentage of uncollected DACs. The standard was set at 0%.PROCESS OF GATHERING INFORMATION:A quality improvement study was conducted on 66 uncollected DACs from January - September 2023.Contributing factors were determined using a data collection form and questionnaire.ANALYSIS AND INTERPRETATION:Uncollected DACs accounted for 36.8% (n=66) in the first cycle and 25.1% (n=45) in the second cycle.Contributing factors in the first cycle included incomplete DAC application forms (n=39, 59.1%) andfailure to hand over DACs to patients (n=27, 40.9%). In the second cycle, among the 18 respondents,reasons cited were inability to collect DACs during office hours (n=9, 50%), insufficient parking (n=5,27.7%), and transportation issues (n=4, 22.2%).STRATEGIES FOR CHANGE:In the first cycle, strategies included increasing awareness of DAC reporting, creating a guide and QRcode with DAC application information available at Medication Safety Boards/Files across 79wards/units/clinics in HTAA, and calling patients after two weeks of uncollected DACs. In the secondcycle, a PRIC Hotline was created, and eDAC generated from the PhIS system were sent via WhatsAppBusiness to patients.EFFECT OF CHANGE:This study increased the efficiency of delivering DACs, reducing the Achievable Benefit Not Achieved(ABNA) from 36.8% to 25.1% to 15.1% over two cycles. Thirty-nine patients received DACs andbenefitted from these strategies.THE NEXT STEP:We plan to include drug allergy notifications into the MySejahtera application, implement the eDACsystem for all patients, and allow DAC collection after office hours.226 | Page