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Reducing pediatric asthma hospital length of stay through evidence-based quality improvement and deployment of computerized provider order entry

Journal of Asthma Jan 31, 2019

Gellert GA, et al. - Researchers assessed how multi-component quality improvement focusing on serial use of an evidence-based clinical pathway via paper order sets, pathway integration into computerized provider order entry (CPOE), use of a clinical respiratory score (CRS), and a discharge checklist could influence pediatric asthma care. They evaluated outcomes over three intervention periods and 50 months on, including time to beta-agonist and steroid first administration, frequency of readmissions and hospital length of stay. Findings revealed no improvements in time to first beta-agonist or steroid administration. In a predominantly Hispanic, Medicaid patient population, the utilization of an evidence-based best practices asthma management pathway and CRS within CPOE, combined with a checklist to expedite discharge, resulted in reduced hospital length of stay and 100-day readmissions rate.

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