Using quality improvement to reduce continuous pulse oximetry use in children with wheezing.

ABSTRACT:

Background and objectives

Clinicians commonly use continuous pulse oximetry (CPOx) for hospitalized children with respiratory illnesses. The Choosing Wisely initiative recommended discontinuing CPOx for children on room air. We used quality improvement methods to reduce time on CPOx in patients with wheezing.

Methods

Our project took place on 1 unit of a children's hospital. We developed consensus-based criteria for CPOx discontinuation. Interventions included education, a checklist used during nurse handoff, and discontinuation criteria incorporated into order sets. We collected data on a second unit where we did not actively intervene to assess for secular trends and negative consequences of shorter monitoring. We followed time until medically ready, ICU transfers, hospita

SUBMITTER: Schondelmeyer AC 

PROVIDER: S-EPMC9923595 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature