Intervention cuts inappropriate PPI prescriptions

This article originally appeared here.
Intervention cuts inappropriate PPI prescriptions
Intervention cuts inappropriate PPI prescriptions

HealthDay News -- A monthly educational intervention paired with a web-based quality improvement tool is feasible for increasing the proportion of inappropriate proton pump inhibitor prescriptions discontinued at hospital discharge, according to a study published in the Journal of Hospital Medicine.

Emily G. McDonald, MD, from the McGill University Health Center in Montreal, and colleagues conducted a before-after study involving a monthly educational intervention paired with a web-based quality improvement tool to reduce inappropriate proton pump inhibitor (PPI) prescriptions. Data were compared for 464 consecutively admitted patients in the pre-intervention control group, and 640 consecutively admitted patients in the intervention group.

Before hospitalization, 44% of patients were using a PPI, the researchers found. Only 54% of evaluated patients had an evidence-based indication for ongoing use. There was an increase in the proportion of PPIs discontinued at hospital discharge, from 7.7% per month in the six months before the intervention to 18.5% per month post-intervention (P=0.03).

"We significantly reduced discharge prescriptions for PPIs through the implementation of an educational initiative paired with a web-based quality improvement tool," the researchers wrote. "An active interventional strategy is likely required considering the increasingly recognized and preventable adverse events associated with PPI misuse."

Reference

  1. McDonald EG et al. J Hosp Med. 2015; doi: 10.1002/jhm.2330.
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