Table 6 Quality improvement strategies identified and implemented by participating sites
Strategy | Facilities that identified (%) | Facilities that implemented (%) |
|---|---|---|
Knowledge/awareness of vitamin D | ||
Face-to-face education for residents | 28/41 (68) | 21/28 (75) |
Information and resources emailed to families | 14/41 (34) | 10/14 (71) |
Making resources available onsite (in addition to study posters and brochures e.g. newsletters) | 12/41 (29) | 12/12 (100) |
Face-to-face education for families | 12/41 (29) | 9/12 (75) |
Adding vitamin D to staff meeting agendas | 11/41 (27) | 9/11 (82) |
Embedding ongoing education for staff into the workplace (e.g. adding links or information to online portals) | 11/41 (27) | 5/11 (46) |
Additional face-to-face education for staff | 3/41 (7) | 2/3 (67) |
Identification of residents suitable for vitamin D | ||
Conducting a one-off audit to identify residents not currently prescribed, and potentially suitable for vitamin D | 29/41 (71) | 21/29 (72) |
Adding vitamin D to online or hard copy assessment forms (e.g. falls risk ax, admission or case conference forms) | 23/41 (56) | 0/23 (0) |
Implementing an unwritten process or procedure to identify residents suitable for vitamin D (e.g. staff to remember to check on admission or during a case conference/ care plan review) | 20/41 (49) | 16/20 (80) |
Arranging an ongoing audit to identify residents suitable for follow up (either internally or as a request to pharmacy) | 1/41 (2) | 0/1 (0) |
Referral pathways | ||
Follow up with GPs regarding specific residents that have been identified as potentially suitable for vitamin D | 23/41 (56) | 14/23 (61) |
General follow up with pharmacists to raise awareness | 17/41 (41) | 11/17 (65) |
General follow up with GPs to raise awareness | 16/41 (39) | 16/16 (100) |
Follow up with physiotherapists for support | 3/41 (7) | 2/3 (67) |
General follow up with nurse practitioners to raise awareness | 1/41 (2) | 0/1 (0) |