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Parikh et al. (doi: 10.1542/peds.2014-1052) believe there are, as a result of their performing a cross-sectional study of data obtained from the Pediatric Health Information System (PHIS) to identify common benchmarks used at the top 10 percent of performing hospitals to note how often images, lab and viral studies, types of antibiotics and frequency of usage could be or should be utilized for inpatient care of asthma, bronchiolitis, and pneumonia.
And speaking of benchmarks, Ralston et al. (doi: 10.1542/peds.2014-1036) add to the discussion with release of their systematic review article of quality improvement studies on ways to reduce unnecessary tests and treatments for children hospitalized with bronchiolitis and provide some additional benchmarks for you to consider.
After reading these studies, you will want to reflect on your own patients or those cared for by your local hospitalists to see whether the benchmarks recommended in these two studies are being adhered to or not when children present with asthma, bronchiolitis, or pneumonia. Benchmark this article for further reference – you’ll likely need it as we move away from volume-based to value-based quality care.