Evaluation of targeted implementation interventions for reducing investigations and therapies in infants with bronchiolitis.

Meredith L. Borland, Sharon O'Brien, Emma Tavender, Libby Haskell, Franz E. Babl, Rachel Schembri, Ben Smedley, Hugh Mitenko, Tim Robertson, Ashes Mukherjee, Stuart R. Dalziel

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Aim: To evaluate the impact of locally adapted targeted implementation interventions on bronchiolitis management through reduction in ineffective investigation and therapies within emergency departments. Methods: A multi-centred, quality improvement study in four different grades of hospitals in Western Australia that provide paediatric emergency and inpatient care. All hospitals incorporated an adapted implementation intervention package for infants under 1 year with bronchiolitis. The proportion whose care complied with guideline recommendations to not receive investigations and therapies of minimal benefit were compared to pre-intervention care in a previous bronchiolitis season. Results: A total of 457 infants in 2019 (pre-intervention) and 443 in 2021 (post-intervention) were included, with mean age of 5.6 months (SD 3.2, 2019; SD 3.0, 2021). In 2019, compliance was 78.1% versus 85.6% in 2021, RD 7.4 (95% CI −0.6; 15.5). The strongest evidence was reduced salbutamol use (compliance improvement: 88.6% to 95.7%, RD 7.1 95% CI (1.7; 12.4)). Hospitals initially at
Original languageEnglish
Pages (from-to)1747-1754
Number of pages8
JournalActa Paediatrica, International Journal of Paediatrics
Volume112
Issue number8
DOIs
Publication statusPublished - Aug 2023

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