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November 2020 -
Volume 18, Issue 11

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Perceptions of Patient Safety Culture among Physicians and Nurses in a Tertiary Hospital in Southwestern Saudi Arabia
[Abstract]
[pdf]
Abdullah A. Alsabaani
DOI: 10.5742/MEWFM.2020.93884

Awareness, Knowledge and Practice of Adult Saudi Females about Cervical Cancer Screening, in Aseer Region, Saudi Arabia
[Abstract]
[pdf]
Mehad H. Al-Qasem, Osma Badar, Anwar M. Abokathiyah
DOI: 10.5742/MEWFM.2020.93885

Public awareness and attitude of the population of Al-Madinah Al-Munawwarah regarding the effects of sunlight and food on vitamin D homeostasis: A cross-sectional study
[Abstract]
[pdf]
Sultan S. Al Thagfan, Saleh A. Bahashwan, Ahmed M. AlJohani, Mohammed W. Azuny,
Eyad A. Domlo, Mohammad Y. Manqu, Salem S. Alhubayshi, Khaled Faisal Alhejail,
Salah M. El Sayed
DOI: 10.5742/MEWFM.2020.93886

Appendectomy as a risk factor for ectopic pregnancy in Taif city
[Abstract]
[pdf]
FarZana R. Arain, Lura A. Habib, Hadeel A. Alharthi, Tasneem H. Elsayed, Dhuha A. Alhumaidi, Lujain A. AlHarthi, Mai S. Althobaiti
DOI: 10.5742/MEWFM.2020.93887

Epidemiology of Hepatitis B in Salahaldeen
[Abstract]
[pdf]
Layla A. Hameed, Sarab Kahtan Abedalrahman, Marwah Imad Al Ameen
DOI: 10.5742/MEWFM.2020.93888

Attitude and Awareness Toward Heart Attack Symptoms and Lifesaving Actions Among Population of Western Region, KSA
[Abstract]
[pdf]
Ali M. Alabdali, Hessa A. Alshahrani, Athar I. Alqurashi, Maryam A. Alzaylaee, Rawan A. Althobaiti, Thekra I. Alsalmi
DOI: 10.5742/MEWFM.2020.93890

Risk Factors of Cervical Epithelial Cell Abnormality in Baghdad
[Abstract]
[pdf]
Asan Ali Qasim Al Niyazee, Ilham Majeed Abdulaaima, Luma Abdulrazzaq Mohammed Saleh, Sarab Kahtan Abedalrahman
DOI: 10.5742/MEWFM.2020.93889

Population and Community Studies

Patterns of Contact Lenses Use among female Students at Health Colleges of King Khalid University at Abha, KSA
[Abstract]
[pdf]
Safar Abadi Alsaleem, Dina Abdullah S. Asiri, Shatha Mahdi A alamry, Amani Hashem AbuHassan, Nouf Saad S Al-Shahrani, Norah Saad Alkahtani, Mohammed Abadi Alsaleem,
Awad S. Alsamghan
DOI: 10.5742/MEWFM.2020.93891

Factors associated with failure of exclusive breastfeeding among mothers of twins in Saudi Arabia
[Abstract]
[pdf]
Malak Mohammad Allihaibi
DOI: 10.5742/MEWFM.2020.93892

Monogenic diabetes: importance of genetic testing
[Abstract]
[pdf]
Rubena Ali Malik, Sabana Shaikh
DOI: 10.5742/MEWFM.2020.93893

Clinical Audit Report as preliminary step for Quality Improvement Project on Prescribing Proton Pump Inhibitors for appropriate indications in West Bay Health Center
[Abstract]
[pdf]
Samar Soliman, Mohamed Salem, Eman Mohamed, Sharief Khan, Abdul-Ali Shah, Wafaa Yousuf
DOI: 10.5742/MEWFM.2020.93894

Prevalence and association between sleep, stress, and physical activity among medical students in southern region, Saudi Arabia
[Abstract]
[pdf]
Shehata Farag Shehata, Mohammed Saad Alshahrani, Mohammed Saad Aldarami, Faisal Ali Asiri, Hashem Abdullah Alghamdi
DOI: 10.5742/MEWFM.2020.93895

Prevalence of fibromyalgia syndrome in chronic urticaria
[Abstract]
[pdf]
Abdulsatar J. Mathkhor, Jinan Q. Mohammed
DOI: 10.5742/MEWFM.2020.93897

Virtual Pain Management Clinic during COVID-19 pandemic: Experience from Qatar
[Abstract]
[pdf]
Khalid Ahmed, Hani Abdalla, Siddig Abdalla, Mouhand FM Mohamed, Yasir Hassan
DOI: 10.5742/MEWFM.2020.93898

Clinical Research and Methods

Telemedicine difficulties for Family Physicians in dermatological cases
[Abstract]
[pdf]
Zeeshan Najam Khan
DOI: 10.5742/MEWFM.2020.93899

Case Report

Early Diagnosis of an Ectopic Pregnancy in patient with Irregular Menstrual Bleeding
[Abstract]
[pdf]
Samar Soliman, Mohammed Salem
DOI: 10.5742/MEWFM.2020.93900


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
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PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.
November 2020 - Volume 18, Issue 11

Clinical Audit Report as preliminary step for Quality Improvement Project on Prescribing Proton Pump Inhibitors for appropriate indications in West Bay Health Center

Samar Soliman (1)
Mohamed Salem (2)
Eman Mohamed (3)
Sharief Khan (4)
Abdul-Ali Shah (4)
Wafaa Yousuf (5)

(1) Specialist Family Medicine ,Primary Health Care Corporation, Qatar .
(2) Consultant Family Medicine ,Primary Health Care Corporation, Qatar.
(3) Pharmacist . Primary Health Care Corporation, Qatar.
(4) Clinical Auditor Specialist , Primary Health Care Corporation, Qatar.
(5) Senior Consultant Family medicine , Primary Health Care Corporation, Qatar.

Corresponding author :
Dr. Samar Soliman
Specialist Family Medicine, Primary Health Care Corporation
Qatar
Mobile : 0097466103314
Email: ssoliman@phcc.gov.qa

Received: September 2020; Accepted:October 2020; Published: November 1, 2020. Citation: Samar Soliman et al. Clinical Audit Report as preliminary step for Quality Improvement Project on Prescribing Proton Pump Inhibitors for appropriate indications in West Bay Health Center. World Family Medicine. 2020; 18(10): 87-92 DOI: 10.5742/MEWFM.2020.93894

Abstract

Background: Proton Pump Inhibitors are largely prescribed to the patients in West Bay health center, Primary Health Care, Doha, Qatar. Patients often continue therapy for extended durations without an end point. Studies have found that up to 70 percent of PPI use is for unapproved indications. Long-term PPI use has been associated with an increased risk of all-cause mortality in two cohorts of institutionalized older persons. The aim of this audit intended to evaluate current practice of PPls prescriptions against best practice international guidelines and suggest changes for improvement.

Methods: 50 medical records were identified by simple random sampling from a total of 2,021 patient’s health records who had been prescribed PPI during the audit period from 1st October to December 2019 and who were reviewed retrospectively based on the audit criteria.

Results: Findings showed PPls were prescribed for justified indications in 24/50 (49%) health records. 26/50(51%) cases of PPls prescriptions were found for unjustified clinical indications. PPls doses for justified indications were also found suitable in 24/24 (100) health records. However, duration of prescribing Pls according to its specific indication were found suitable in 9/24 (37.5%) health records.

PPls stop date was not documented in 41/50 (82%) health records but it was documented in 9/50 (18%) health records in West Bay Health Center, PHCC-Doha, Qatar

Conclusion: The findings showed partial compliance to the best practice international guideline for prescribing PPls to patients for justified indications and in suitable doses, but low compliance was found regarding the duration of prescribing PPls specifically for various justified indications. Stop date of PPls was hardly documented in 18% of health records.

Key words: Proton Pump Inhibitors, prescribing, quality improvement







 


 
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