Comparison of Amiodarone Compliance Monitoring: Usual Care, Electronic Prescribing Template and Pharmacist-Managed Clinic

Jeannie L. Poon, Allison C. Brenner, Michael J. Brenner
2014 Journal of Pharmacy and Pharmacology  
Objective: To assess whether adherence to amiodarone monitoring differed pre-and post-amiodarone restriction template and implementation of the pharmacist-managed clinic. Design: This was a retrospective chart review study. Setting: A large, academically-affiliated Veteran Affairs Healthcare System providing primary and tertiary care. Patients: 580 patients were identified as having an active prescription for amiodarone for at least 60 days from and receiving primary care at the VAAHS (Veterans
more » ... the VAAHS (Veterans Affairs Ann Arbor Healthcare System). Results: Nearly all patients had TSH and LFTs at baseline regardless of study group. Significant associations between baseline rates for CXR, ECG, PFT, and ophthalmologic exams were found, with higher rates in the clinic and template arms compared to usual care. Similar patterns for all monitoring outcome rates were also found for both the 6-and 12-month measures. Conclusions: Patients on amiodarone who are followed by a pharmacist-managed clinic or where a restricted ordering template was used had increased compliance with amiodarone monitoring guidelines compared to usual care. Use of a restricted template may be a reasonable option in place of a pharmacist-managed service.
doi:10.17265/2328-2150/2014.10.007 fatcat:ta6yoed7wrbvzim23svne6osw4