Bridging Gaps in GDMT: Pharmacist-Medicine Team Synergy for Improved Care

弥合指南指导药物治疗(GDMT)中的差距:药师与内科医生团队协同合作,改善医疗服务

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Abstract

BACKGROUND: Guideline-directed medical therapy (GDMT) is a cornerstone in the management of congestive heart failure, offering well-documented benefits in reducing mortality and morbidity. However, despite strong clinical evidence, many eligible patients do not receive optimal GDMT during hospitalization. PROJECT RATIONALE: To address this gap, a quality improvement initiative was launched, focusing on the integration of pharmacists as clinical liaisons to collaborate with clinicians, with the goal of increasing prescribing and optimization rates of GDMT for eligible patients. PROJECT SUMMARY: The project was conducted at Lankenau Medical center over 11 months with pharmacists reaching out to clinicians with suggestions for GDMT prescription and/or optimization, which were then compared with the rates prior to the intervention to determine the efficacy of this strategy. TAKE-HOME MESSAGE: A pharmacy team-led intervention with a humanized approach to avoid best-practice-advisory and alert fatigue has shown promising results when it comes to increasing rates of GDMT.

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