Abstract

We appreciate the comments by Drs Maisels, Newman, and Watchko on our recently published experience1 with newborn prehospital discharge bilirubin screening. Our result of reducing the number of neonates whose serum bilirubin levels exceeded 20 mg/dL was achieved as described in “Methods.” Education of caregivers was completed before institution of the program, and the newborn order set for Intermountain Health Care hospitals was changed to provide for the predischarge bilirubin test. Physicians could opt out by crossing through the bilirubin order. We obtained at least 1 predischarge bilirubin level from >99% of the infants, so this was rarely an …

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