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A Successful Pharmacist-Based Quality Initiative to Reduce Inappropriate Stress Ulcer Prophylaxis Use in an Academic
Umair Masood1, Anuj Sharma1, Zabeer Bhatti1
11 State University of New York Upstate Medical University, Syracuse, NY, USA.
This study effectively reduced inappropriate stress ulcer prophylaxis (SUP) in an intensive care unit (ICU) through pharmacist reviews and resident education. Inappropriate SUP use decreased by over 73%, saving significant costs.
Area of Science:
- Critical Care Medicine
- Pharmacology
- Health Services Research
Background:
- Stress ulcer prophylaxis (SUP) is frequently overused in critically ill patients.
- Inappropriate SUP use contributes to increased healthcare costs and potential adverse events.
Purpose of the Study:
- To implement and evaluate interventions aimed at reducing inappropriate stress ulcer prophylaxis (SUP) utilization in an academic medical intensive care unit (ICU).
Main Methods:
- A multidisciplinary approach involving pharmacist-led daily reviews and resident education on SUP guidelines.
- Chart reviews were conducted pre- and post-intervention to assess SUP appropriateness and associated costs.
Main Results:
- Inappropriate SUP incidence decreased from 26.75 to 7.14 per 100 patient-days (73.31% reduction, P < .001).
- Monthly costs associated with inappropriate SUP use were reduced from $2433 to $239.80, a saving of approximately $2200 per month.
Conclusions:
- A collaborative strategy involving pharmacists and physicians can significantly decrease inappropriate stress ulcer prophylaxis use in the ICU.
- Implementing guideline-based reviews and targeted education is an effective method for optimizing medication use and reducing healthcare expenditures.
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