Impact of an Educational Intervention to Improve Physician Adherence to Bronchiolitis Clinical Practice Guidelines

A Pre-Post Intervention Study

Research output: Contribution to journalArticle

Abstract

Bronchiolitis is the leading cause of infant hospitalizations in the United States. Despite clinical practice guidelines discouraging the utilization of non–evidence-based therapies, there continues to be wide variation in care and resource utilization. A pre-post physician focused educational intervention was conducted with the aims to reduce the use of non–evidence-based medical therapies, including bronchodilators, among patients admitted for bronchiolitis. Among patients meeting inclusion criteria (pre: n = 45; post: n = 47), bronchodilator use decreased by 50% (P <.001). Antibiotic use increased by 9% (P <.02), although results remained within published acceptable utilization rates of less than 19%. There were no statistical differences in chest X-ray, respiratory viral panel, and steroid use. There were no differences in number of pediatric intensive care unit transfers, 30-day readmission rates, and mean length of stay. The findings demonstrate that a physician-focused educational intervention highlighting American Academy of Pediatrics clinical practice guidelines resulted in reduced utilization of bronchodilators.

Original languageEnglish (US)
Pages (from-to)253-258
Number of pages6
JournalClinical Pediatrics
Volume57
Issue number3
DOIs
StatePublished - Mar 1 2018

Fingerprint

Bronchiolitis
Bronchodilator Agents
Practice Guidelines
Physicians
Pediatric Intensive Care Units
Length of Stay
Hospitalization
Thorax
Steroids
X-Rays
Pediatrics
Anti-Bacterial Agents
Therapeutics

Keywords

  • bronchiolitis
  • clinical practice guidelines

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

@article{c6a2a77c148c47deb0aa09b5d445f289,
title = "Impact of an Educational Intervention to Improve Physician Adherence to Bronchiolitis Clinical Practice Guidelines: A Pre-Post Intervention Study",
abstract = "Bronchiolitis is the leading cause of infant hospitalizations in the United States. Despite clinical practice guidelines discouraging the utilization of non–evidence-based therapies, there continues to be wide variation in care and resource utilization. A pre-post physician focused educational intervention was conducted with the aims to reduce the use of non–evidence-based medical therapies, including bronchodilators, among patients admitted for bronchiolitis. Among patients meeting inclusion criteria (pre: n = 45; post: n = 47), bronchodilator use decreased by 50{\%} (P <.001). Antibiotic use increased by 9{\%} (P <.02), although results remained within published acceptable utilization rates of less than 19{\%}. There were no statistical differences in chest X-ray, respiratory viral panel, and steroid use. There were no differences in number of pediatric intensive care unit transfers, 30-day readmission rates, and mean length of stay. The findings demonstrate that a physician-focused educational intervention highlighting American Academy of Pediatrics clinical practice guidelines resulted in reduced utilization of bronchodilators.",
keywords = "bronchiolitis, clinical practice guidelines",
author = "Marquita Genies and Kim, {Julia Minjung} and Kristina Pyclik and Suzanne Rossi and Natalie Spicyn and Serwint, {Janet Rose}",
year = "2018",
month = "3",
day = "1",
doi = "10.1177/0009922817698804",
language = "English (US)",
volume = "57",
pages = "253--258",
journal = "Clinical Pediatrics",
issn = "0009-9228",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - Impact of an Educational Intervention to Improve Physician Adherence to Bronchiolitis Clinical Practice Guidelines

T2 - A Pre-Post Intervention Study

AU - Genies, Marquita

AU - Kim, Julia Minjung

AU - Pyclik, Kristina

AU - Rossi, Suzanne

AU - Spicyn, Natalie

AU - Serwint, Janet Rose

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Bronchiolitis is the leading cause of infant hospitalizations in the United States. Despite clinical practice guidelines discouraging the utilization of non–evidence-based therapies, there continues to be wide variation in care and resource utilization. A pre-post physician focused educational intervention was conducted with the aims to reduce the use of non–evidence-based medical therapies, including bronchodilators, among patients admitted for bronchiolitis. Among patients meeting inclusion criteria (pre: n = 45; post: n = 47), bronchodilator use decreased by 50% (P <.001). Antibiotic use increased by 9% (P <.02), although results remained within published acceptable utilization rates of less than 19%. There were no statistical differences in chest X-ray, respiratory viral panel, and steroid use. There were no differences in number of pediatric intensive care unit transfers, 30-day readmission rates, and mean length of stay. The findings demonstrate that a physician-focused educational intervention highlighting American Academy of Pediatrics clinical practice guidelines resulted in reduced utilization of bronchodilators.

AB - Bronchiolitis is the leading cause of infant hospitalizations in the United States. Despite clinical practice guidelines discouraging the utilization of non–evidence-based therapies, there continues to be wide variation in care and resource utilization. A pre-post physician focused educational intervention was conducted with the aims to reduce the use of non–evidence-based medical therapies, including bronchodilators, among patients admitted for bronchiolitis. Among patients meeting inclusion criteria (pre: n = 45; post: n = 47), bronchodilator use decreased by 50% (P <.001). Antibiotic use increased by 9% (P <.02), although results remained within published acceptable utilization rates of less than 19%. There were no statistical differences in chest X-ray, respiratory viral panel, and steroid use. There were no differences in number of pediatric intensive care unit transfers, 30-day readmission rates, and mean length of stay. The findings demonstrate that a physician-focused educational intervention highlighting American Academy of Pediatrics clinical practice guidelines resulted in reduced utilization of bronchodilators.

KW - bronchiolitis

KW - clinical practice guidelines

UR - http://www.scopus.com/inward/record.url?scp=85041725681&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041725681&partnerID=8YFLogxK

U2 - 10.1177/0009922817698804

DO - 10.1177/0009922817698804

M3 - Article

VL - 57

SP - 253

EP - 258

JO - Clinical Pediatrics

JF - Clinical Pediatrics

SN - 0009-9228

IS - 3

ER -