Category: Federal Forum Posters
Purpose: Amiodarone is an anti-arrhythmic agent associated with relatively high incidence of adverse effects including pulmonary, thyroid, and hepatic toxicities. Currently more than 300 veterans have been identified within the Veterans Affairs (VA) Southern Nevada Healthcare System who initiated amiodarone for the treatment of ventricular arrhythmia. More than 100 of these patients, however, are not completing routine screening in a timely manner. This could potentially lead to serious medication related adverse outcomes and significant morbidity. Implementing a clinical reminder to help health care providers order prompt labs, and follow up with patients, could provide an opportunity for better patient health outcomes.
Methods: The intervention includes implementation of a clinical reminder for the primary care providers to use in the Computerized Patient Record System (CPRS). The data for this project will be collected at the Veterans Affairs Southern Nevada Healthcare System as routine medical care and it will be made available as aggregate data in de-identified form. Additionally, the data will be collected utilizing the Veterans Affairs Veterans Integrated Service Network 21 (VISN 21) dashboard reporting services for medication safety and will include how many patients are currently past due for follow-up labs for amiodarone monitoring. After the implementation of a clinical reminder, the resident will look at how many patients are up-to-date with the recommended laboratory tests. Pre-intervention data may be collected retrospectively. The data will be stored and analyzed using Microsoft Excel and will be analyzed periodically post-intervention to evaluate changes in patient follow-up laboratory compliance.
Mariya Zhudeva– Pharmacy Student, Roseman University of Health Sciences, Las Vegas, NV