2.50
Hdl Handle:
http://hdl.handle.net/10755/162835
Type:
Presentation
Title:
Redesigning Care of Asthma Patients in an Urban Emergency Department
Abstract:
Redesigning Care of Asthma Patients in an Urban Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:1996
Author:Schoenecker, Suzanne R., RN, CEN
Co-Authors:Sally Dillon, RN, CEN; John Lawrie, MD; and Tracey Hopkins, RN
Planning and implementation occurred in two phases: Phase 1) RNs were cross-trained to administer nebulizer treatments eliminating the time required to summon respiratory therapy; Phase 2) an Asthma critical path was developed to clarify and standardize the plan of care and reduce resource utilization. Education of physicians and nurses occurred prior to path implementation. Results were measured according to timeliness of initiation of treatment, timing of subsequent treatments, medication usage, resource utilization and length of stay.

Results obtained after implementation were: 1) increase in timeliness of nebulizer treatments from 35% of patients receiving treatments on time pre-intervention to 80% of patients receiving treatments on time post intervention; 2) reduction in lab usage from 25% to 15% for patients receiving unnecessary CBCs; and 3) reduction of 40 minutes in average ER LOS. These data suggest that improvements in clinical performance and resource utilization can be obtained through the use of critical pathways that standardize and communicate best practice. Enhanced timeliness of treatment improves patient outcomes through earlier relief of symptoms.

There is a role for the use of critical pathways in emergency medicine for select diagnoses. ED critical paths standardize treatment and assist in eliminating over utilization of resources thus contributing to improved clinical and fiscal outcomes. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRedesigning Care of Asthma Patients in an Urban Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162835-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Redesigning Care of Asthma Patients in an Urban Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1996</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schoenecker, Suzanne R., RN, CEN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sally Dillon, RN, CEN; John Lawrie, MD; and Tracey Hopkins, RN</td></tr><tr><td colspan="2" class="item-abstract">Planning and implementation occurred in two phases: Phase 1) RNs were cross-trained to administer nebulizer treatments eliminating the time required to summon respiratory therapy; Phase 2) an Asthma critical path was developed to clarify and standardize the plan of care and reduce resource utilization. Education of physicians and nurses occurred prior to path implementation. Results were measured according to timeliness of initiation of treatment, timing of subsequent treatments, medication usage, resource utilization and length of stay.<br/><br/>Results obtained after implementation were: 1) increase in timeliness of nebulizer treatments from 35% of patients receiving treatments on time pre-intervention to 80% of patients receiving treatments on time post intervention; 2) reduction in lab usage from 25% to 15% for patients receiving unnecessary CBCs; and 3) reduction of 40 minutes in average ER LOS. These data suggest that improvements in clinical performance and resource utilization can be obtained through the use of critical pathways that standardize and communicate best practice. Enhanced timeliness of treatment improves patient outcomes through earlier relief of symptoms.<br/><br/>There is a role for the use of critical pathways in emergency medicine for select diagnoses. ED critical paths standardize treatment and assist in eliminating over utilization of resources thus contributing to improved clinical and fiscal outcomes. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:58Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.