[AVBC 2025] Reducing Inappropriate Prescription of Omeprazole in Marine Parade Polyclinic
Care Process & Redesign
Appropriate & Value-based Care Conference
National Healthcare Group
10 November 2025
To reduce inappropriate prescriptions of omeprazole among adult patients (Age = 21 years old) in Marine Parade Polyclinic. Implementation of education program is effective in reducing number of inappropriate omeprazole prescriptions in Marine Parade.
Year Submitted: 2025
Published Date: 10 November 2025
Tags: Care Process ＆ Redesign, Productivity, Cost Saving, Value Based Care, Safe Care, Adherence Rate, Risk Management, Adverse Outcome Reduction, Workflow Redesign
About this Content
Aims
To reduce inappropriate prescriptions of omeprazole among adult patients (Age = 21 years old) in Marine Parade Polyclinic from 34.7% to 20% over 6 months.
Background
Omeprazole is a common medication prescribed for gastritis. Inappropriate use is associated with complications such as osteoporosis. An audit in Marine Parade Polyclinic showed high rates of inappropriate omeprazole prescription (34.7%) from Feb to Jun 2024.
Methods
A quality improvement project was conducted involving a team of doctors and pharmacists. The project included structured and targeted education programs for doctors, derived from international and local guidelines for appropriate omeprazole use.
Results
Reduction in the rates of inappropriately prescribed omeprazole from 34.7% to 12.5% after PDSA cycles 1 and 2. 32 omeprazole orders were deprescribed.
Conclusion
Implementation of education program is effective in reducing number of inappropriate omeprazole prescriptions in Marine Parade Polyclinic.
Lessons Learnt
Limited by weekly sampling of prescriptions and inability of pharmacy records to capture patients who underwent deprescription of omeprazole without tapering regimens.
Keywords
Omeprazole, Prescription, Polyclinic, Education Program, Deprescribing
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | SingHealth Polyclinics |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Medical, Pharmacy |
Applicable Specialty or Discipline | General Medicine, General Practice |
Project Lead(s) | Seng Jun Jie Benjamin |
Project Member(s) | Sok Hui NG |
Connect with this contributor!
Seng Jun Jie Benjamin - sengjunjie@gmail.com