| Clinician adherence to guideline for phototherapy use in newborns. | |
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MedLine Citation:
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PMID: 22773712 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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METHODS: This study was a retrospective review of medical records of 1160 newborns receiving care at the normal newborn nurseries at 2 Twin City, MN, hospitals. Four hundred thirty-six infants received phototherapy. RESULTS: When phototherapy was administered, it was indicated in 37% of cases and not indicated in 8%. In 56% of cases it was considered subthreshold. When phototherapy was not administered, it was appropriate in 99% of cases but was inappropriate or missed in 1% of cases. There was a significant difference in clinician adherence to the phototherapy guidelines between the hospitals. The addition of the phototherapy nomogram to the newborn charts did not change adherence to the guideline. CONCLUSIONS: Clinicians infrequently missed providing phototherapy when it was indicated. Most infants received phototherapy when their bilirubin level was in the "optional" range. The interhospital variability of guideline adherence confirms results found in other studies. Because the addition of the phototherapy nomogram alone did not improve adherence to the guideline, alternative interventions targeted at nurseries should be considered. |
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Authors:
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Diane J Madlon-Kay |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American Board of Family Medicine : JABFM Volume: 25 ISSN: 1557-2625 ISO Abbreviation: J Am Board Fam Med Publication Date: 2012 Jul |
Date Detail:
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Created Date: 2012-07-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101256526 Medline TA: J Am Board Fam Med Country: United States |
Other Details:
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Languages: eng Pagination: 437-41 Citation Subset: IM |
Affiliation:
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the Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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