Improving Patient Outcomes by Addressing Provider Variation in Emergency Department Asthma Care.

ABSTRACT: Asthma exacerbations are frequent in the pediatric emergency department (ED) and result in significant morbidity and costs; standardized treatment improves outcomes. In this study, we aimed to use provider adherence data and the associated patient outcomes as an intervention to change behavior and improve care.

Methods

We used a retrospective cohort design to analyze 2 years of baseline data for asthma patient encounters. Providers were classified based on guideline adherence. We compared patient outcomes by provider adherence using Mann-Whitney U and Fisher's exact test. Our intervention included education with data feedback and peer comparison. We then analyzed changes in guideline adherence, the proportion of patients admitted, length of stay (LOS), and costs for this population

SUBMITTER: Hartford EA 

PROVIDER: S-EPMC7774994 | biostudies-literature | 2021 Jan-Feb

REPOSITORIES: biostudies-literature