Improving community prescribing of post-fracture denosumab after discharge

Wood, Helen; Lewis, Harriet; Ward, Rachael; Solanki, Tarun; Fernando, P.

doi:10.12968/hmed.2017.78.1.20

Br J Hosp Med

2017

DOI: 10.12968/hmed.2017.78.1.20

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Improving community prescribing of post-fracture denosumab after discharge

Helen Wood

Harriet Lewis

Rachael Ward

et al.

Abstract: Prescribing denosumab on the inpatient drug chart and highlighting its use in a consultant-written letter to the primary care team improved prescribing and administering of denosumab in the community.

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Secondary fracture prevention in primary care: a narrative review

Wang,

Seibel

2024

Osteoporos Int

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The global burden of osteoporosis continues to rise with an ageing population. Untreated osteoporotic fractures not only heighten the risk of subsequent fractures but are associated with excess mortality. Although primary care guidelines consistently stress the importance of secondary fracture prevention, fewer than 20% of patients are appropriately treated for osteoporosis following an initial osteoporotic fracture. This worldwide phenomenon is known as the osteoporosis care gap. This literature review examines the barriers to secondary fracture prevention in primary care and evaluates the effectiveness of targeted primary care interventions. Common themes emerged from the majority of qualitative studies, including a need for improved communication between the hospital team and primary care, better defined responsibilities and osteoporosis-directed education for the primary care physicians. Quantitative studies demonstrated that most targeted, intensive interventions aimed at educating patients and their primary care physician about osteoporosis treatment significantly increased rates of investigation and treatment. Greater uptake of models of secondary fracture prevention in primary care is urgently needed to address the osteoporosis care gap.

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Secondary fracture prevention in primary care: a narrative review

Wang,

Seibel

2024

Osteoporos Int

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Resection and reconstruction with and without neoadjuvant denosumab in campanacci grade III giant cell tumors of proximal humerus: a retrospective comparative study

Sahito

Ali

Farooqui

et al. 2021

Eur J Orthop Surg Traumatol

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Improving the quality of discharge summaries through a direct feedback system

Earnshaw

Pedersen

Evans

et al. 2020

Future Healthcare Journal

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Introduction There is a recognised need to improve the quality of discharge documentation to facilitate the safe and effective ongoing care of patients once they leave hospital. Previous studies have focused on individual interventions, such as teaching or feedback. Our continuous quality improvement project aims to improve the quality of discharge documentation at our hospital by providing a comprehensive overhaul of the education and feedback around discharge documentation. Methods We designed a comprehensive data analysis tool to analyse the performance of our discharge summaries. We presented at clinical governance sessions and arranged numerous teaching sessions for junior doctors. We developed a livefeedback system based on the content of a sample set of the previous month's summaries, which included poster-based feedback and group teaching. Results Our interventions have significantly improved the quality of our discharge documentation across a broad range of categories, including the summary of the stay, actions for general practitioners and information given to patients in lay terminology. Conclusion Our comprehensive quality improvement project has improved the quality of our discharge documentation. Further work aims to expand this project into a regional setting, as well as designing a strategy to maintain engagement of key stakeholders to ensure continued progress.

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Improving community prescribing of post-fracture denosumab after discharge

Abstract: Prescribing denosumab on the inpatient drug chart and highlighting its use in a consultant-written letter to the primary care team improved prescribing and administering of denosumab in the community.

Cited by 3 publications

References 0 publications

Secondary fracture prevention in primary care: a narrative review

Secondary fracture prevention in primary care: a narrative review

Resection and reconstruction with and without neoadjuvant denosumab in campanacci grade III giant cell tumors of proximal humerus: a retrospective comparative study

Improving the quality of discharge summaries through a direct feedback system

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