Interdisciplinary EBP Improves Pediatric Asthma Outcomes in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/202190
Type:
Presentation
Title:
Interdisciplinary EBP Improves Pediatric Asthma Outcomes in the Emergency Department
Abstract:
(41st Biennial Convention) Nationally, ninety percent of pediatric patients seeking emergency care are seen in Emergency Departments (ED) without pediatric specialties.  All departments that provide care to children should have training regarding pediatric patients, not just adults.  Two community EDs without pediatric specialties participated in this project.  One had a nested pediatric area.  The goal of this project was to promote consistent care guided by Evidence Based Practice (EBP) for every child seen in the ED. Considering the frequency of respiratory complaints such as wheezing, cough, and asthma, respiratory therapy was the identified ancillary department to partner with to develop EBP care.  Chart audits of pediatric asthma patients and a survey of multidisciplinary care providers revealed issues potentially negatively affecting patient outcomes.  Efforts to address these issues included user friendly revision of policies, protocols, order sets and documentation tools.  Mandatory education was provided to all staff working in both EDs with equal compliance. Chart Audits one month after implementation of stated chages demonstrated significant improvement in order set use, documentation completion, peak flow use, and use of nurse driven protocols in the ED with the nested pediatric area.  Door to treatment time and steroid administration time was decreased.  In the ED without a nested pediatric area, only a slight increase in documentation compliance was noted.  Patient stays were longer and treatment times delayed when compared with the other ED. Continued monitoring will take place at three and five months post change.  The influence of monitoring for compliance with EBP tools and leadership support to affect sustained change will be investigated.  The value of nested pediatric areas within community EDs to influence positive pediatric outcomes should be investigated.
Keywords:
EBP; Pediatric Asthma; Emergency Department
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInterdisciplinary EBP Improves Pediatric Asthma Outcomes in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/202190-
dc.description.abstract(41st Biennial Convention) Nationally, ninety percent of pediatric patients seeking emergency care are seen in Emergency Departments (ED) without pediatric specialties.  All departments that provide care to children should have training regarding pediatric patients, not just adults.  Two community EDs without pediatric specialties participated in this project.  One had a nested pediatric area.  The goal of this project was to promote consistent care guided by Evidence Based Practice (EBP) for every child seen in the ED. Considering the frequency of respiratory complaints such as wheezing, cough, and asthma, respiratory therapy was the identified ancillary department to partner with to develop EBP care.  Chart audits of pediatric asthma patients and a survey of multidisciplinary care providers revealed issues potentially negatively affecting patient outcomes.  Efforts to address these issues included user friendly revision of policies, protocols, order sets and documentation tools.  Mandatory education was provided to all staff working in both EDs with equal compliance. Chart Audits one month after implementation of stated chages demonstrated significant improvement in order set use, documentation completion, peak flow use, and use of nurse driven protocols in the ED with the nested pediatric area.  Door to treatment time and steroid administration time was decreased.  In the ED without a nested pediatric area, only a slight increase in documentation compliance was noted.  Patient stays were longer and treatment times delayed when compared with the other ED. Continued monitoring will take place at three and five months post change.  The influence of monitoring for compliance with EBP tools and leadership support to affect sustained change will be investigated.  The value of nested pediatric areas within community EDs to influence positive pediatric outcomes should be investigated.en_GB
dc.subjectEBPen_GB
dc.subjectPediatric Asthmaen_GB
dc.subjectEmergency Departmenten_GB
dc.date.available2012-01-11T11:14:51Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:14:51Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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