Sustaining the Implementation of an Evidence-Based Guideline for Bronchiolitis

摘要: Objective To describe the changes occurring over a 3-year period after implementation of an evidence-based clinical practice guideline for care infants with bronchiolitis. Design Before and study. Setting Children's Hospital Medical Center, Cincinnati, Ohio. Patients Infants 1 year or younger admitted to hospital first-time episode typical Intervention The was implemented January 15, 1997. Data on all patients discharged from bronchiolitis, 15 through March 27, in 1997, 1998, 1999, were stratified by compared data similar same periods years 1993 1996. Main Outcome Measures Patient volumes, length stay admissions, use specific laboratory therapeutic resources ancillary bed occupancy. Results After guideline, admissions decreased 30% mean 17% ( P 2 -agonist inhalation therapy Conclusions An encountered major pediatric facility has been successfully sustained beyond initial its introduction practitioners southwest