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Category: Volume 11 Issue 01 January 2023
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Title: Overview  of proper co-ordering of vitamin B12 injection for a vitamin B12 deficient patients who were prescribed vitamin b12 injection in  Al Thumama Health Centre   July -September 2021

Authors: Dr Teeba Salwan Abbood, Dr Budoor Khatan Al-Shammari, Dr Sara Ahmad Ba-Khamis

 DOI: https://dx.doi.org/10.18535/jmscr/v11i1.17

Abstract

Reviewing the vitamin B 12 deficiency prevalence in Qatar and main gate for treating patient is primary care health centres we noticed a deffiency in co ordering b12 to be excuted by nurses after prescribing it and its dispense thought the pharmacy, such a need complaint from physician was at the time of data collections in Al Thumama Health centre 28% and after implementing certain changes this compliance improved to above the aim of 80%precisely 93% on post trial PDSA cycle2

Problem discrepancy between the treating doctors prescribing vitamin b12 injection in vitamin b12 deficient patient and co-ordering of the injecton so the treatment room  staff will have the green light for pursuance to vitamin injection to the patient taking in consideration highly prevalence b12 deficiency among various patients demographics and diagnoses knowing that having a prescription order is not enough to be administered to the patient by the staff.

References

  1. Stouten K, Riedl JA, Droogendijk J, et al. Prevalence of potential underlying aetiology of macrocytic anaemia in Dutch general practice. BMC Fam Pract 2016; 17:113.
  2. Theisen-Toupal J, Horowitz G, Breu A. Low yield of outpatient serum folate testing: eleven years of experience. JAMA Intern Med 2014; 174:1696.
  3. Lindenbaum J, Rosenberg IH, Wilson PW, et al. Prevalence of cobalamin deficiency in the Framingham elderly population. Am J ClinNutr 1994; 60:2.
  4. Carmel R. Prevalence of undiagnosed pernicious anemia in the elderly. Arch Intern Med 1996; 156:1097.
  5. Norman EJ, Morrison JA. Screening elderly populations for cobalamin (vitamin B12) deficiency using the urinary methylmalonic acid assay by gas chromatography mass spectrometry. Am J Med 1993; 94:589.
  6. “Association of vitamin B12 deficiency with metformin use in patients with type 2 diabetes treated in the largest tertiary care hospital in Qatar” Fahmi Yousef Khan1, Abdelmonem B. Yousif2, Aasir Suliman1, Ahmed Osman Saleh1, Mohamed Magdi1, Awni Alshurafa1, Ebtihal Abdelmoneim Hassan3, Ahmed Ghazy1, Omar K. Salameh1, Ahmed Abdallah1 pubmed 2021

Corresponding Author

Dr Teeba Abbood