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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-141Minimising the Percentage of Prescription Error in Melaka Tengah District HealthOffice (PKDMT)Nur Athira H1, Kua YX1, Suhaila NR2, Nurul Syaza AN2, Soh PS3, Hana NM31 Tengkera Health Clinic, Melaka2Batu Berendam Health Clinic, Melaka3Peringgit Health Clinic, MelakaSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:It is crucial for healthcare workers to avoid medication errors, especially prescription errors which canlead to patient harm. A pilot study conducted from 7th until 20th February 2023 showed that three healthclinics in Melaka Tengah District Health Office (PKDMT) had a high percentage of prescription errorswith 19.33% (116 out of 600 prescriptions).KEY MEASURES FOR IMPROVEMENT:The key indicator for improvement is the percentage of prescription errors. The standard was 18.30%based on Quick Guide Prevention Prevention Error, Patient Safety Unit, Medical Care Quality Section.Ministry of Health Malaysia, 2020.PROCESS OF GATHERING INFORMATION:A quality improvement study was conducted from April until December 2023 on non-communicabledisease (NCD) patients in Tengkera Health Clinic, Peringgit Health Clinic and Batu Berendam HealthClinic. A questionnaire was given to prescribers to determine the contributing factors of high prescriptionerrors. Data was collected from prescriptions, PhIS (Pharmacy Information System) and Buku RekodRawatan Pesakit (clinic copy and patient%u2019s copy).ANALYSIS AND INTERPRETATION:Out of 378 prescriptions, 131 had errors (34.66%). The main contributing factors of prescription errorsincluded improper documentation of medical records (50.9%), lack of awareness of safe prescribingpractice (34%) and ineffective communication between prescriber and pharmacist (15.1%).STRATEGIES FOR CHANGE:To avoid improper documentation of medication records, a %u2018PHARMnote%u2019 was attached to the patientrecord to communicate with the prescriber on the next appointment. In order to increase awareness amongprescribers, a continuous medical education (CME) was given. The reminder sticker was placed near theprescribers%u2019 workplace to remind them to update patient records.EFFECT OF CHANGE:After all the changes made during cycle one, prescription error was reduced from 34.66% to 3.97% thusachieving the standard indicator (18.30%).THE NEXT STEP:All remedial actions will be implemented in all health clinics in PKDMT starting June 2024.229 | Page