Category: Federal Forum Posters
Purpose: Within this federal ambulatory care facility most antiarrhythmics must be prescribed by an in-facility cardiologist while amiodarone can be prescribed by an in-facility primary care provider (PCP) or cardiologist. Because amiodarone has many toxicities, a note template was created to help providers stay up to date with monitoring parameters. The primary objective of this project is to determine the utilization of the "Pharmacy Amiodarone Monitoring" note, find the rate of compliance with amiodarone monitoring requirements, determine if users of the notes have higher monitoring rates, and possibly assess if patients receive treatment and intervention sooner due to note usage.
Methods: This drug-use evaluation will review patients with an active prescription for amiodarone from any location within this federal ambulatory care health system between June 2017 and October 2018. Patients will be excluded from data collection if amiodarone hasn’t been filled for greater than 90 days and if amiodarone was prescribed by a non-facility provider. We will determine if the amiodarone monitoring note was utilized at initiation (if initiation was within the study period) and at renewal of the amiodarone prescription. We will also determine if monitoring recommendations were followed and if an intervention was made for any abnormal results. An excel spreadsheet will be created and data from a chart review will be collected including: whether the amiodarone prescription was prescribed by cardiology or a PCP, the last fill of amiodarone and if a note was used, if monitoring parameters were completed for initial prescription (if initial prescription falls within study period) and when the last AST/ALT, ECG and QTc, chest x-ray, thyroid panel, and optometry consult were completed and results of each test. If any test is abnormal, a more detailed chart review will be completed investigating the cause of the abnormal result and if any intervention was performed.
Results: Not applicable
Conclusion: Not applicable
Christina Wilkinson– Pharmacy Resident, VA Nebraska Western-Iowa Health Care System - Lincoln Division, Lincoln, NE