Category: Federal Forum Posters
Purpose: Previously established proton pump inhibitor (PPI) stewardship programs have had varying degrees of success at reducing inappropriate PPI use. An omission of both formal patient education and optimization of transitions of care have been identified as limitations in previous stewardship efforts. This study will evaluate the implementation of a recommendation-based stewardship effort, with an emphasis on patient education during and after discharge, in reducing the amount of inappropriate PPI prescriptions.
Methods: Patients admitted for an acute stay at Tennessee Valley Healthcare System Veterans Affairs Nashville campus with an active order for an oral PPI will be identified via daily inpatient PPI report. A standardized PPI stewardship note will be placed in a patient’s electronic medical record after being identified as having a potentially inappropriate oral PPI order, and a joint pharmacy-medicine effort will be made to reduce inappropriate PPI use while inpatient. In addition to discharge counseling, an educational call will be made to the patient within 10 days of discharge to reinforce rationale for PPI discontinuation or dose de-escalation. The primary endpoint of this study will be the percentage of patients identified who successfully tolerated PPI discontinuation at 4 months post-discharge who were able to be contacted for post-discharge education.
Results: not applicable
Conclusion: not applicable
Matthew Olean– PGY1 Pharmacy Practice Resident, VA Tennessee Valley Healthcare System, Nashville, TN