Guideline promotion increases prescription of bone protection with steroids in hospitalised patients

Hdl Handle:
http://hdl.handle.net/10147/575046
Title:
Guideline promotion increases prescription of bone protection with steroids in hospitalised patients
Authors:
Harty, L; Clare, J; Finnerty, D; Van Der Kamp, S.; Kennedy, F; Callanan, I; McKenna, MJ; FitzGerald, O
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Jul-2015
URI:
http://hdl.handle.net/10147/575046
Abstract:
Guidelines for the prevention of glucocorticoid (GC) induced osteoporosis (GIOP) were implemented in a level 5 Irish Hospital with cross sectional audit of inpatient prescribing undertaken before and after. Prior to guideline implementation, elemental calcium (Ca) with Vitamin D (VitD) was prescribed for 11/66 (17%) of patients on GCs with 2/66 (3%) also receiving bisphosphonate (BP) therapy. Subsequent to guideline implementation, Ca with VitD was prescribed for 19/55 (35%) of patients on GCs with 11/55 (20%) also receiving BP therapy, representing a 2 and 6 fold respective increase. Internal promotion of guidelines is an effective strategy for healthcare improvement but needs refinement with or without repetition to achieve better patient outcomes.
Item Type:
Article
Language:
en
Keywords:
OSTEOPOROSIS; PRESCRIBING

Full metadata record

DC FieldValue Language
dc.contributor.authorHarty, Len
dc.contributor.authorClare, Jen
dc.contributor.authorFinnerty, Den
dc.contributor.authorVan Der Kamp, S.en
dc.contributor.authorKennedy, Fen
dc.contributor.authorCallanan, Ien
dc.contributor.authorMcKenna, MJen
dc.contributor.authorFitzGerald, Oen
dc.date.accessioned2015-08-18T11:56:28Zen
dc.date.available2015-08-18T11:56:28Zen
dc.date.issued2015-07en
dc.identifier.urihttp://hdl.handle.net/10147/575046en
dc.description.abstractGuidelines for the prevention of glucocorticoid (GC) induced osteoporosis (GIOP) were implemented in a level 5 Irish Hospital with cross sectional audit of inpatient prescribing undertaken before and after. Prior to guideline implementation, elemental calcium (Ca) with Vitamin D (VitD) was prescribed for 11/66 (17%) of patients on GCs with 2/66 (3%) also receiving bisphosphonate (BP) therapy. Subsequent to guideline implementation, Ca with VitD was prescribed for 19/55 (35%) of patients on GCs with 11/55 (20%) also receiving BP therapy, representing a 2 and 6 fold respective increase. Internal promotion of guidelines is an effective strategy for healthcare improvement but needs refinement with or without repetition to achieve better patient outcomes.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectOSTEOPOROSISen
dc.subjectPRESCRIBINGen
dc.titleGuideline promotion increases prescription of bone protection with steroids in hospitalised patientsen
dc.typeArticleen
dc.identifier.journalIrish medical journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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