Category: Federal Forum Posters
Purpose: Pharmacy Medication Therapy Management (MTM) clinical pharmacists at our institution currently perform routine monitoring of vitamin B12 levels in metformin-treated type 2 diabetes (T2D) patients. This allows for early detection and treatment of low serum vitamin B12 concentrations, preventing neurologic complications associated with vitamin B12 deficiency. The purpose of this project is to evaluate the current monitoring patterns and improve the rates of vitamin B12 level monitoring and interventions in metformin-treated patients managed by clinical pharmacists.
Methods: This project has been reviewed by the non-research determination committee and approved as a quality improvement project. The project will be conducted from October 1, 2018 to March 31, 2018. A list of eligible patients will be generated utilizing an active outpatient drug prescription report. Eligible patients include T2D diagnosed patients with an active prescription for metformin who are managed by a single pharmacy MTM Clinic. A retrospective analysis will be conducted on included patients to obtain pertinent baseline information. Additionally, orders for vitamin B12 concentrations and/or supplements will be entered as necessary. Follow-up data reviews will be conducted to evaluate current vitamin B12 monitoring patterns and assess pharmacy clinical interventions.
Results: Not applicable
Conclusion: Not applicable
Astrid Thio– PGY1 Pharmacy Resident, VA Nebraska-Western Iowa Health Care System, Gretna, NE