The New Zealand medical journal · 2023
Laxative-prescribing habits: a summative impact evaluation of a constipation programme implemented in two hospitals in New Zealand.
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Cook Jennifer Ch, Alhaidari Abdullah Ao, Jackson Blake W, Ordish Matthew P
Аннотация
AIMS: To evaluate the impact of a multifaceted intervention aimed at improving adherence to a list of preferred laxatives in two hospitals in New Zealand.
METHODS: A constipation programme was developed at Capital & Coast District Health Board to improve adherence to safe and effective (preferred) laxatives over potentially dangerous and less effective (non-preferred) agents. The intervention included a new constipation guideline, a poster of preferred laxatives, a patient information leaflet, hospital formulary adjustments and staff education. The evaluation compared the number of dispensations of each laxative during two periods: a 12-month period prior to programme implementation and a 12-month period following programme implementation. Data were retrospectively gathered from multiple sources on all laxatives dispensed on 14 adult wards across two New Zealand hospitals.
RESULTS: Prior to the programme, there were 111,771 laxatives dispensed, the majority of which (62%) were non-preferred agents. Following the programme, there were 91,005 laxatives dispensed, the majority of which (82%) were from the preferred list, indicating a large shift in prescribing habits.
CONCLUSIONS: Inpatient laxative prescribing habits require attention and are amenable to quality improvement initiatives. This may reduce waste, prevent harm and improve patient outcomes.
METHODS: A constipation programme was developed at Capital & Coast District Health Board to improve adherence to safe and effective (preferred) laxatives over potentially dangerous and less effective (non-preferred) agents. The intervention included a new constipation guideline, a poster of preferred laxatives, a patient information leaflet, hospital formulary adjustments and staff education. The evaluation compared the number of dispensations of each laxative during two periods: a 12-month period prior to programme implementation and a 12-month period following programme implementation. Data were retrospectively gathered from multiple sources on all laxatives dispensed on 14 adult wards across two New Zealand hospitals.
RESULTS: Prior to the programme, there were 111,771 laxatives dispensed, the majority of which (62%) were non-preferred agents. Following the programme, there were 91,005 laxatives dispensed, the majority of which (82%) were from the preferred list, indicating a large shift in prescribing habits.
CONCLUSIONS: Inpatient laxative prescribing habits require attention and are amenable to quality improvement initiatives. This may reduce waste, prevent harm and improve patient outcomes.