159 DOES SHARED DECISION MAKING (SDM) ADDRESS POTENTIALLY INAPPROPRIATE PRESCRIBING (PIP)?

Abstract Background Potentially Inappropriate Prescribing (PIP) as identified by STOPP/START criteria is associated with poor patient outcomes. The objective of this study was to investigate the extent reduction in PIP achieved Shared Decision Making (SDM) employed pharmacists delivering, comprehensive, person-centred medication reviews part EU INTERREG-VA funded iSIMPATHY project. relationship between reductions and improvements Patient Reported Outcome Measures (PROMs) explored. Methods This conducted across 3 General Practice (GP) practice sites. List eligible patients aged ≥65 years on ≥10 regular medications were generated from software. Patients contacted phone offered consented data collection. first 100 actioned GPs for which post review PROM collected included. Data independently reviewed analysed Medication Safety, Quality Improvement Division Health Service Executive. Results At least one 93% participants an average 4 per patient, found. 76% these resolved within timeframe. 88% reported improvement at domain. their Understanding, 54% experience Adverse Drug Reactions (ADRs), 21% Activities Daily Living (ADLs) 8% adherence. 68% 53% reporting 0-1 domains, whereas 85% 47% 2-4 domains. Conclusion Delivery service Irish GP setting significantly improves both medicines appropriateness (PROMs). There appears be a positive SDM PROMs. outcomes individual warrants further investigation.