Thursday, February 20, 2014

Quality Improvement: Reducing Utilization for Inpatients with Bronchiolitis

Deputy Editor Dr. Alex Kemper offers a preview of a Quality Report being early released this week from our March issue:

We all know that the mainstay of treatment for bronchiolitis is time. Still, some children require hospitalization for respiratory support. Once in the hospital, it is all too easy to order tests and unnecessary treatment. Is it possible to change that?
Photo by Lumax Art via Flickr

Dr. Mittal and colleagues (doi: 10.1542/peds.2013-2881) share their experience in decreasing utilization without worsening care. Though implementing clinical practice guidelines can be a complex process, Dr. Mittal’s team successfully developed and implemented guidelines for management of bronchiolitis in children less than 2 years old. Their implementation not only involved teamwork and collaboration (including monthly team meetings), but provider education, online access to the clinical practice guidelines, order sets and data sharing. Read more of the quality report to learn what impact this had on resource utilization and length of stay.

Spend some time that you would otherwise use ordering tests to let us know how you can decrease unnecessary utilization. Leave a comment below, submit an eLetter on our journal site, or join the conversation on Facebook or Twitter.

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