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Guideline promotion increases prescription of bone protection with steroids in hospitalised patients
Harty, L Clare, J Finnerty, D Van Der Kamp, S. Kennedy, F Callanan, I McKenna, MJ FitzGerald, O
Harty, L
Clare, J
Finnerty, D
Van Der Kamp, S.
Kennedy, F
Callanan, I
McKenna, MJ
FitzGerald, O
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Date
2015-07
Date Submitted
Keywords
OSTEOPOROSIS
PRESCRIBING
PRESCRIBING
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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.
Language
en