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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024PP-23Reducing the Percentage of Type 2 Diabetes Mellitus (T2DM) Patient MedicationNon-Adherence (PMNA) in the Outpatient Setting in Klinik Kesihatan Port DicksonTok YC1, Nurain S1, Nalini G1, Cheok PH1, Deepah K2, Pearly C1, Luqman A11Pharmacy Department, Klinik Kesihatan Port Dickson, Port Dickson, Negeri Sembilan2 Non-Communicable Disease Unit, Klinik Kesihatan Port Dickson, Port Dickson, Negeri SembilanSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:A verification study conducted at Klinik Kesihatan Port Dickson (KKPD) in 2022 showed that 70% of thetotal Type 2 Diabetes Mellitus (T2DM) patients were non-adherent towards their anti-diabeticmedications. This could indicate that the patients have problems in taking their medication, leading toprogression of the disease. This study aimed to reduce the T2DM Patient Medication Non-Adherence(PMNA) in outpatient settings.KEY MEASURES FOR IMPROVEMENT:The indicator was measured using the percentage of PMNA among T2DM patients in KKPD. Thestandard set for PMNA is <30% based on the IADMAS study conducted by Saad et al (2021).PROCESS OF GATHERING INFORMATION:A quality improvement study was conducted using convenience sampling in KKPD with 50 subjects incycle 1 (March to August 2022) and cycle 2 (August to December 2022). MyMAAT was used to assessthe patient%u2019s PMNA status, and a medication counseling checklist was used to identify the contributingfactors.ANALYSIS AND INTERPRETATION:The main contributing factors included poor understanding of medications and side effects (45%),concomitant use of OTC and supplements (15%), and missed appointments (40%).STRATEGIES FOR CHANGE:In cycle 1, a medication counselling checklist with DFIT score incorporated was used to assess the drugunderstanding, concomitant use of OTC and supplements and frequency of missed appointments; apictorial medication sticker was applied on the medication label in cycle 1. A drug reminder applicationwas introduced in cycle 2.EFFECT OF CHANGE:The percentage of T2DM PMNA in KKPD was reduced from 70% to 20%. The ABNA was reducedfrom 40% to 5% (cycle 1) and -10% (cycle 2). Understanding of medications and side effects improvedfrom 45% to 86%; use of OTC and supplements reduced from 15% to 4% and missed appointmentsreduced from 40% to 20%.THE NEXT STEP:These remedial actions may serve as a guide in the next larger scale of this study. We plan to have amultidisciplinary approach by involving diabetic educators in the future.75 | Page