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Successful implementation of evidence-based guidelines in a regional emergency department for children presenting with acute asthma

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Weber, H, Bassett, G, Bartl, D, Yusof, MM, Sohal, SS

, Ahuja, K

and Frandsen, M

2019 , 'Successful implementation of evidence-based guidelines in a regional emergency department for children presenting with acute asthma' , Australian Journal of Rural Health , pp. 1-6 , doi: 10.1111/ajr.12544.

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Abstract

Objective: To evaluate the adherence to asthma evidence‐based guidelines beforeand after a quality improvement process.Design: A controlled trial was conducted at two regional hospitals (intervention andcontrol hospitals). We performed a retrospective pre‐intervention audit, followed by apost‐intervention audit 1 year after the implementation of evidence‐based guidelines.Setting: Emergency departments of two neighbouring hospitals serving regional andrural North West Tasmania.Participants: All children (Main outcome measure(s): The main outcome measures were the compliance to evidence‐based guidelines, pre‐ and postintervention at the intervention hospital, compared to the control hospital. The specific outcomes measure included the clinicalpresentation, management, referral to asthma and allergy clinic, and hospitilisation.Results: Significantly improved adherence to evidence‐based guidelines were notedpost‐intervention at the intervention hospital, that is severity recorded (21.4%‐45.7%,P P P = 0.03) and written action plans (29.7%‐58.3%, P P = 0.48). At the controlhospital, however, no significant improved adherence to evidence‐based guidelineswere noted.Conclusions: Evidence‐based implementation led to improved adherence to evidence‐based guidelines across an expanded list of domains in a regional setting.

Item Type:	Article
Authors/Creators:	Weber, H and Bassett, G and Bartl, D and Yusof, MM and Sohal, SS and Ahuja, K and Frandsen, M
Keywords:	clinical, paediatric, respiratory, rural, standards
Journal or Publication Title:	Australian Journal of Rural Health
Publisher:	Association for Australian Rural Nurses
ISSN:	1038-5282
DOI / ID Number:	10.1111/ajr.12544
Copyright Information:	© 2019 National Rural Health Alliance Ltd.
Related URLs:	Google Scholar: Sohal, SS UTAS Profile: Sohal, SS Google Scholar: Ahuja, K UTAS Profile: Ahuja, K Google Scholar: Frandsen, M UTAS Profile: Frandsen, M
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