139 A PHARMACIST-LED INTERVENTION TO IMPROVE QUALITY OF CARE AND REDUCE RISK OF RECURRENCE IN HOSPITALISED STROKE PATIENTS

Abstract Background Stroke is the leading cause of acquired disability, and 3rd death, in Ireland. This Quality Improvement Project focused on improving pathway care provided to stroke inpatients an acute general hospital admitting up 60 patients per annum. The should include specialist input from wider Multi-Disciplinary Team (MDT), including pharmacists. Methods An audit collected data 2 phases: (A) a retrospective review looking for broader themes, (B) prospective collection primary drivers quality care, patient feedback questionnaires follow-up phone calls post-discharge. A Pharmacist Screening Tool was applied individual data, medication changes documented. Key improvement were identified Results Phase included 20 with confirmed stroke, average age 66 years, all ischaemic stroke. B patients, 69 Four identified: (1) Lack of, or delayed, referral team; (2) Transcription/prescription errors; (3) Low rate counselling medications pre-discharge; (4) High rates interventions changes, other complexities regimens. Future cycles will implement (a) increased education healthcare professionals about best-practice (b) dedicated pharmacist inpatients. Conclusion Patient highlighted that written information given discharge unclear; errors prescriptions lack common. focused, patient-centric approach can improve satisfaction, overall outcomes post-stroke. Pharmacist-led are key part bundle care.