Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures : A Paradigm Shift
Joint Authors
Wright, John
Harris, Mitchel B.
Simon, Josef
LeBoff, Meryl S.
Glowacki, Julie
Thornhill, Thomas S.
Kolatkar, Nikheel S.
Source
International Journal of Endocrinology
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-08-26
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
We designed, implemented, and revised the Brigham Fracture Intervention Team (B-FIT) initiatives to improve in-hospital care of fracture (Fx) patients.
Effectiveness was evaluated for 181 medical records of 4 cohorts in four successive years of consecutive patients who were admitted with a fragility hip Fx.
The Discharge Initiative (DI) (computer-based) includes 1200 mg calcium and 1000 IU vitamin D3 daily.
The Admission Initiative (AI) was introduced one year later with reminders for serum 25OHD measurement, initiation of daily calcium (1200 mg) and vitamin D (800 IU), and an order for Endocrinology consultation, with an amendment for a computer-assisted reminder and a dose of D2 (50 000 IU).
Initially, the computer-based DI was more effective (67%) than the surgeon-driven AI (33%, P<.001).
After introduction of a computer-assisted reminder, AI effectiveness increased to 68%.
The marked prevalence of vitamin D insufficiency reaffirms the importance of incorporating vitamin D recommendations in Fx care pathways.
American Psychological Association (APA)
Glowacki, Julie& Harris, Mitchel B.& Simon, Josef& Wright, John& Kolatkar, Nikheel S.& Thornhill, Thomas S.…[et al.]. 2009. Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures : A Paradigm Shift. International Journal of Endocrinology،Vol. 2010, no. 2010, pp.1-7.
https://search.emarefa.net/detail/BIM-483275
Modern Language Association (MLA)
Glowacki, Julie…[et al.]. Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures : A Paradigm Shift. International Journal of Endocrinology No. 2010 (2010), pp.1-7.
https://search.emarefa.net/detail/BIM-483275
American Medical Association (AMA)
Glowacki, Julie& Harris, Mitchel B.& Simon, Josef& Wright, John& Kolatkar, Nikheel S.& Thornhill, Thomas S.…[et al.]. Brigham Fracture Intervention Team Initiatives for Hospital Patients with Hip Fractures : A Paradigm Shift. International Journal of Endocrinology. 2009. Vol. 2010, no. 2010, pp.1-7.
https://search.emarefa.net/detail/BIM-483275
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-483275