Using Quality Improvement Science to Implement a Multidisciplinary Behavioral Intervention Targeting Pediatric Inpatient Airway Clearance

被引：21

作者：

Ernst, Michelle M. ^{[1
]}

Wooldridge, Jamie L. ^{[2
]}

Conway, Edward ^{[3
]}

Dressman, Kathy ^{[4
]}

Weiland, Jeanne ^{[4
]}

Tucker, Karen ^{[4
]}

Seid, Michael ^{[2
,5
]}

机构：

[1] Cincinnati Childrens Hosp, Med Ctr, Div Behav Med & Clin Psychol, Cincinnati, OH 45229 USA

[2] Cincinnati Childrens Hosp, Med Ctr, Div Pulm Med, Cincinnati, OH 45229 USA

[3] Cincinnati Childrens Hosp, Med Ctr, Div Resp Care, Cincinnati, OH 45229 USA

[4] Cincinnati Childrens Hosp, Med Ctr, Div Patient Serv, Cincinnati, OH 45229 USA

[5] Cincinnati Childrens Hosp, Med Ctr, Ctr Hlth Care Qual, Div Hlth Policy & Clin Effectiveness, Cincinnati, OH 45229 USA

来源：

JOURNAL OF PEDIATRIC PSYCHOLOGY | 2010年 / 35卷 / 01期

关键词：

adherence; cystic fibrosis; evidence-based practice; research design and methods; CYSTIC-FIBROSIS; PSYCHOLOGY; ISSUES; CARE;

D O I：

10.1093/jpepsy/jsp013

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

ObjectiveThe objective of this study was to use quality improvement science methodology to develop a multidisciplinary intervention improving occurrence of best-practice airway clearance therapy (ACT) in inpatient adolescents with cystic fibrosis during routine clinical care.MethodsThe model for improvement was used to develop and implement interventions. Primary outcomes were quality of ACT (% ACT meeting criteria for best practice) and quantity of ACT (% of hospital days patients received ACT four times/day). Annotated control charts were used to document the impact of the interventions.ResultsQuality of ACT significantly improved from 21% best practice ACT at baseline to 73%. Quantity of ACT significantly improved from 41% days with ACT four times/day at baseline to 64%.ConclusionsA multidisciplinary, evidence-based intervention was effective for improving occurrence of best-practice ACT. Pediatric psychology can make valuable contributions to improving the quality of care provided in the medical setting.

引用

页码：14 / 24

页数：11

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