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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024PP-07Optimising Pharmacotherapy in Medical Ward Patients: Enhancing WardPharmacists%u2019 Review Efficiency at Hospital Kuala LumpurFarizan AG1, Rahela AK1, Siti Fathimah A1, Muhammad Amir S1, Nur Fatin Najwa A1, Dinesh KW1, TanMY1, Siti Nurul Asikin M1, Ng KW1, Saiful Safuan MS21Pharmacy Department, Hospital Kuala Lumpur, W.P Kuala Lumpur.2Medical Department, Hospital Kuala Lumpur, W.P Kuala Lumpur.SELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Ward pharmacist plays a vital role in optimising patient care by conducting daily pharmacotherapyreviews (PRs). The demanding environment of medical wards poses a challenge in documenting PRs,leading to a reduction of reviews by 33.4% from 2019-2022. This may compromise drug related issues(DRIs) detection that potentially impacting clinical improvement. Optimisation PRs focuses on drugs thatrequire close monitoring, therapeutic drug monitoring, organ dysfunction, specialty care referral,intensive/critical care transition, medication related issues, high alert medications & patient related issues.Thus, the aim of study is to increase the percentage of optimised PR by ward pharmacists in medicalwards.KEY MEASURES FOR IMPROVEMENT:The indicator was measured using percentage of optimised PRs with a standard of 100% within HospitalKuala Lumpur based on consensus.PROCESS OF GATHERING INFORMATION:A quality improvement study was conducted using convenience sampling in medical wards from August2023 to February 2024. One cycle of remedial measures was implemented for four months. Datacollection form and self-administered questionnaire were used throughout the study.ANALYSIS AND INTERPRETATION:Verification study showed optimised PR of 56.41% (ABNA 43.59%). Main contributing factors includetime consuming for documentation (93%), heavy workload (93%) and consultation with other healthcareprofessionals (90%).STRATEGIES FOR CHANGE:A new scoring tool, STORIMAP, was developed from published tools and validated by expert clinicalpharmacists to determine patient acuity levels and clerking priority which facilitate pharmacists tooptimisation of PR. Additionally, a web-based Pharmacotherapy Quick Reference (PQR) was created,featuring a simple three-step process for timely query responses. Finally, Continuous Pharmacy Educationsessions were conducted to train pharmacists in the utilisation of both STORIMAP and PQR.EFFECT OF CHANGE:The percentage of optimised PRs increased from 56.41% to 79.41% (ABNA reduced to 20.59%). Therewas an increment percentage of DRI detection (35.7%) and shorten time spent for PR (38 to 15 minutes)THE NEXT STEP:To do the launching of STORIMAP smartphone application and expansion of PQR to healthcareprofessionals.58 | Page