Guideline implementation in chronic heart failure management: an audit using medication assessment tools in Selayang Hospital / Amir Sofi Mohd Baidi

Heart failure has become an increasingly frequent reason for hospital admission during the last 2 decades and clearly represents a major health problem. Research and auditing the use of guideline in management of heart failure is lacking. This study was conducted to audit the adherence of clinical practice in Malaysia specifically Selayang General Hospital on management of heart failure guideline. A newly developed Medication Assessment Tools (MAT tools) had been used to audit Selayang Hospital to assess their adherence on the MOH heart failure management guideline. The sample consisted of 32 chronic heart failure patient's and their age were 18 and above. There were 33 criteria in MAT tools which had been validated to ensure the consistency between MAT tools and MOH guideline before being tested to the sample. 33 criteria were analyzed and classified into 5 categories which were Diuretics, Angiotensin Converting Enzyme inhibitors, Angiotensin Receptor blockers, Beta blockers and also other drugs. It can be concluded that the first line of drugs that had always been prescribed by doctors were Diuretics, ACEI, and BB. Adherence for diuretics categories based on guideline was 42%, ACEI 92%, ARB 25%, BB 87%, and other drugs 92%. Overall adherence to management of heart failure guideline was 83%. This showed that Selayang Hospital has high adherence to management of heart failure guideline.