Implementation and Improvement of Pediatric Asthma Guideline Improves Hospital-Based Care

Johnson, David; Arnold, Donald H.; Grisso, Alison G.; O'Connor, M.G.; O'Kelley, Ellen; Moore, Paul

doi:10.1542/peds.2017-1630

Cited by 27 publications

(33 citation statements)

References 23 publications

(32 reference statements)

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“…Thus, there is a need to identify implementation strategies that can help promote guidelines or protocols targeted towards this subpopulation in emergency settings. There is evidence that the quality of care in pediatric emergencies has improved with the implementation of evidence-based guidelines in the emergency management of children [4,5]. To continue this trend, and implement it in other areas of care, we first must identify successful implementation strategies and identify patterns of success among these strategies.…”

Section: Introductionmentioning

confidence: 99%

“…While some recent studies examining the effect of implementing guidelines in emergency management of children have found positive outcomes [4,5,9], others have reported no significant effects on the outcomes [10]. It is unclear if this is a result of poor implementation strategies or lack of reporting on what entailed the implementation strategies.…”

Section: Introductionmentioning

confidence: 99%

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Implementation strategies in emergency management of children: a scoping review protocol

et al. 2020

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Background: Behavior change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed. As such, implementation strategies are vital for the uptake and sustainability of changes in medical protocols. Medical or mental emergencies may be life-threatening, especially in children due to their unique physiological needs. In emergency departments (EDs), where timely decisions are often made, practice change requires thoughtful considerations regarding the best approaches to implementation. As there are many studies reporting on a wide variety of implementation strategies in the emergency management of children in EDs, we aim to identify and map the characteristics of these studies. Methods: We will conduct a scoping review to identify various implementation strategies in the emergency management of children using the Arksey and O'Malley framework. We will search MEDLINE (Ovid), Embase (Ovid), Cochrane Central (Wiley), and CINAHL (Ebsco), from inception to May 29, 2019, for implementation studies among the pediatric population (≤ 21 years) in a pediatric emergency setting. Two pairs of reviewers will independently select studies for inclusion and extract the data. We will perform a descriptive, narrative analysis of the characteristics of the identified implementation strategies. Discussion: We will present specific characteristics and outcome measures of all included studies in a tabular form. The results of this review are expected to help identify and characterize successful implementation strategies in the emergency management of children in EDs.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implementation strategies in emergency management of children: a scoping review protocol

et al. 2020

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“…Thus, there is a need to identify implementation strategies that can help promote guidelines or protocols targeted towards this subpopulation in emergency settings. There is evidence that the quality of care in pediatric emergencies has improved with the implementation of evidence-based guidelines in pediatric emergency management (PEM) [4,5]. To continue this trend, and implement it in other areas of care, we first must identify successful implementation strategies and identify patterns of success among these strategies.…”

Section: Introductionmentioning

confidence: 99%

“…While some recent studies examining the effect of implementing PEM guidelines have found positive outcomes [4,5,9], others have reported no significant effects on the outcomes [10]. It is unclear if this is a result of poor implementation strategies, or lack of reporting on what entailed the implementation strategies.…”

Section: Introductionmentioning

confidence: 99%

Implementation strategies in pediatric emergency management: a scoping review protocol

Aregbesola

et al. 2019

Preprint

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“…Thus, there is a need to identify implementation strategies that can help promote guidelines or protocols targeted towards this subpopulation in emergency settings. There is evidence that the quality of care in pediatric emergencies has improved with the implementation of evidence-based guidelines in emergency management of children [4,5]. To continue this trend, and implement it in other areas of care, we first must identify successful implementation strategies and identify patterns of success among these strategies.…”

mentioning

confidence: 99%

Implementation strategies in emergency management of children: a scoping review protocol

Aregbesola

Abou‐Setta

Jeyaraman

et al. 2020

Preprint

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Background : Behaviour change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed. As such, implementation strategies are vital for the uptake and sustainability of changes in medical protocols. Medical or mental emergencies may be life threatening, especially in children due to their unique physiological needs. In emergency departments (EDs), where timely decisions are often made, practice change requires thoughtful considerations regarding the best approaches to implementation. As there are many studies reporting on a wide variety of implementation strategies in emergency management of children in EDs, we aim to identify and map the characteristics of these studies. Methods : We will conduct a scoping review to identify various implementation strategies in emergency management of children using the Arksey and O’Malley framework. We will search Medline (Ovid), Embase (Ovid), Cochrane Central (Wiley) and CINAHL (Ebsco), from inception through May 29, 2019, for implementation studies among the pediatric population (≤21 years) in a pediatric emergency setting. Two pairs of reviewers will independently select studies for inclusion and extract data. We will perform a descriptive, narrative analysis on the characteristics of the identified implementation strategies. Discussion : We will present specific characteristics and outcome measures of all included studies in a tabular form. The results of this review are expected to help identify and characterize successful implementation strategies in emergency management of children in EDs. Scoping review registration : Open Science Framework https://osf.io/h6jv2

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Implementation and Improvement of Pediatric Asthma Guideline Improves Hospital-Based Care

Abstract: The hospital-wide standardization of a pediatric asthma CPG across hospital units can safely reduce overall hospital resource intensity by reducing LOS, admissions, ICU services, and charges.

Cited by 27 publications

References 23 publications

Implementation strategies in emergency management of children: a scoping review protocol

Implementation strategies in emergency management of children: a scoping review protocol

Implementation strategies in pediatric emergency management: a scoping review protocol

Implementation strategies in emergency management of children: a scoping review protocol

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