L2: Improving the Appropriate Use of Proton Pump Inhibitors (PPI) among patients in Primary Care Setting, Pejabat Kesihatan Daerah Klang

1.    Selection of Opportunities for Improvement :
There was an increasing trend in number of patients who were started with proton pump inhibitors (PPIs) at tertiary hospitals and referred to health clinics under PKD Klang for further managements. In 2017, the longest duration of PPI treatment in Klang health clinics was 66 months (5.5 years) which might lead to serious side effects and high expenditure. From an audit, we noticed a high percentage of discharged letters (96.8%) and prescriptions of PPIs (95.7%) received in PKD Klang were incomplete with indications and durations.