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- W3093669592 abstract "INTRODUCTION: Timing of certain proton pump inhibitors (PPIs) administration plays an important role in their efficacy. Delayed release capsules of omeprazole and lansoprazole should be taken 30 minutes before breakfast. Studies have demonstrated increased efficacy of PPIs when administered 30–60 minutes before breakfast. METHODS: We performed a retrospective chart review of the patients admitted in the hospital in December 2018. All adult patients in the hospital who were on any PPI were included. Patients on twice daily PPI dosing were excluded. Data was collected on timing of PPI administration. An EHR intervention was implemented where the default frequency for PPI administration was changed from “daily” to “before breakfast” which meant it would be given at least 30 minutes before breakfast. After the intervention, chart review was done to collect the data for patients admitted in March 2019. RESULTS: Out of 100 patients reviewed before the intervention, none received PPI 30 minutes before breakfast due to EHR order of “daily” dosing which meant PPI was administration at 10 AM. After the EHR intervention, data of 100 patients on PPI was reviewed. All patients received PPI 30 minutes before the breakfast. This was a 100% improvement from pre-intervention. CONCLUSION: PPIs were not being administered at the optimal time before the intervention. While only some PPIs must be administered 30 minutes before meals, it was decided that all will be administered this way as to simplify discharge instruction for patients (not knowing exactly which PPI the primary team would be discharging them with). A simple EHR intervention was implemented that resulted in 100% compliance with appropriate timing of PPI administration." @default.
- W3093669592 created "2020-10-29" @default.
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- W3093669592 date "2020-10-01" @default.
- W3093669592 modified "2023-09-27" @default.
- W3093669592 title "S3316 Timely Administration of Proton Pump Inhibitors in an Urban Community Hospital Setting: A Quality Improvement Project" @default.
- W3093669592 doi "https://doi.org/10.14309/01.ajg.0000715312.40032.89" @default.
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