Study finds, Integrated Care Pathway reduces unnecessary tre
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A Study was conducted to analyze the impact of an integrated care pathway on reducing unnecessary treatments for acute bronchiolitis.

Researchers implemented an integrated primary care (PC) facility and emergency referral system based on evidence (ED). This is the study team's third cycle for improving quality in the administration of acute bronchiolitis. With the help of the methodology of design thinking, family and provider experience was incorporated.

A multifaceted plan that included several quality improvement initiatives was adopted to reduce unnecessary treatments. The primary outcome was the percentage of infants prescribed salbutamol. Secondary outcomes were prescribing rates of other medications. The main control measures were hospitalization and unscheduled return rates. Salbutamol prescribing rate data were plotted on run charts.

Results:
--Researchers included 1768 ED and 1092 PC visits, of which 913 ED visits and 558 PC visits occurred in the postintervention period.

--Salbutamol use decreased from 7.7% to 0% in the ED and from 14.1% to 5% in PC centers.

--In the ED, the overall epinephrine use rate fell from 9% to 4.6%. In PC centers, overall corticosteroid and antibiotic prescribing rates fell from 3.5% to 1.1% and from 9.5% to 1.7%, respectively.

In conclusion, the usage of medicines in bronchiolitis management has reduced through an integrated clinical route that combines families and professionals experience.

Source: https://pediatrics.aappublications.org/content/147/6/e20194021?rss=1
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