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Twice as many neonates got vitamin D after instructions to doctors were simplified. – Aug 2014

Vitamin D supplementation in neonates.

BMJ Qual Improv Rep. 2014 Aug 26;3(1).
Wu Z1. 1St Mary's Hospital, Imperial College NHS Trust.

VitaminDWiki Summary
14 pages of
instructions
Simple Leaflet
Supplemented 40% 77%
% less than 4 nanograms 44% 13%

This is a very common problem
I have read scores of instructions to doctors
Most are very difficult to understand, and often are 100 pages long

 Download the PDF from VitaminDWiki
tables and images are in files at the bottom of this page

Vitamin D deficiency may lead to the development of rickets. In our paediatrics department in a major London hospital, we audited the number of babies with low vitamin D levels attending our prolonged jaundice clinic. Prior to our newly designed intervention, those babies with low vitamin D levels would be given a letter to encourage collection of supplementation from their GP. The GP would receive a letter which included a 14-page guideline on vitamin D supplementation. For this project, we included all breastfed babies that attended our prolonged jaundice clinic between August 2012 and December 2012. Those babies that were either vitamin D deficient or insufficient were identified. We then followed up these patients and asked them whether they were being prescribed the correct supplementation after being identified as vitamin deficient. For our intervention, we designed a leaflet to simplify guidelines that was then distributed to mothers and their GPs. Following this intervention, we re-audited the new cohort of patients who received the leaflet between August and November 2013. The study found 71% of babies to be vitamin D deficient. Moreover, almost two in five mothers had less than the recommended six months of vitamin supplementation during pregnancy. After identifying a deficiency, one would expect that uptake of vitamin supplementation would increase dramatically. However, only four in 10 babies went on to receive the correct dose and preparation of supplements. A marked increase in uptake was seen during the re-audit post intervention, with 71% of babies receiving correct supplementation. While an increase in government advertising would have contributed to the rise in uptake of vitamin D supplementation, a leaflet proved to be a simple yet effective intervention in improving vitamin uptake in babies. As a result, this was then implemented as part of trust guidelines.

PMID: 26733062 PMCID: PMC4645901 DOI: 10.1136/bmjquality.u203171.w1436

Attached files

ID Name Comment Uploaded Size Downloads
7072 Instructions s2.pdf admin 13 Sep, 2016 22:05 72.95 Kb 163
7071 Insrurctions s1.pdf admin 13 Sep, 2016 22:05 244.70 Kb 184
7070 Instructions.pdf PDF admin 13 Sep, 2016 22:04 483.84 Kb 166
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