A systematic review of the implementation and impact of asthma protocols

Simple item page
dc.contributor.authorDexheimer, Judith W
dc.contributor.authorBorycki, Elizabeth M
dc.contributor.authorChiu, Kou-Wei
dc.contributor.authorJohnson, Kevin B
dc.contributor.authorAronsky, Dominik
dc.date.accessioned2015-05-21T18:43:15Z
dc.date.available2015-05-21T18:43:15Z
dc.date.copyright2014en_US
dc.date.issued2014-09-09
dc.descriptionBioMed Centralen_US
dc.description.abstractBackground: Asthma is one of the most common childhood illnesses. Guideline-driven clinical care positively affects patient outcomes for care. There are several asthma guidelines and reminder methods for implementation to help integrate them into clinical workflow. Our goal is to determine the most prevalent method of guideline implementation; establish which methods significantly improved clinical care; and identify the factors most commonly associated with a successful and sustainable implementation. Methods: PUBMED (MEDLINE), OVID CINAHL, ISI Web of Science, and EMBASE. Study Selection: Studies were included if they evaluated an asthma protocol or prompt, evaluated an intervention, a clinical trial of a protocol implementation, and qualitative studies as part of a protocol intervention. Studies were excluded if they had non-human subjects, were studies on efficacy and effectiveness of drugs, did not include an evaluation component, studied an educational intervention only, or were a case report, survey, editorial, letter to the editor. Results: From 14,478 abstracts, we included 101 full-text articles in the analysis. The most frequent study design was pre-post, followed by prospective, population based case series or consecutive case series, and randomized trials. Paper-based reminders were the most frequent with fully computerized, then computer generated, and other modalities. No study reported a decrease in health care practitioner performance or declining patient outcomes. The most common primary outcome measure was compliance with provided or prescribing guidelines, key clinical indicators such as patient outcomes or quality of life, and length of stay. Conclusions: Paper-based implementations are by far the most popular approach to implement a guideline or protocol. The number of publications on asthma protocol reminder systems is increasing. The number of computerized and computer-generated studies is also increasing. Asthma guidelines generally improved patient care and practitioner performance regardless of the implementation methoden_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe first author was supported by a training grant from the National Library of Medicine [LM T15 007450–03]. This work was supported by [LM 009747–01] (JWD, DA).en_US
dc.identifier.citationDexheimer et al.: A systematic review of the implementation and impact of asthma protocols. BMC Medical Informatics and Decision Making 2014 14:82en_US
dc.identifier.urihttp://www.biomedcentral.com/1472-6947/14/82
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6947-14-82
dc.identifier.urihttp://hdl.handle.net/1828/6190
dc.language.isoenen_US
dc.publisherBMC Medical Informatics and Decision Makingen_US
dc.rights.tempAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectReview
dc.subjectAsthma
dc.subjectMedical informatics
dc.subjectSystematic review
dc.subject.departmentSchool of Health Information Science
dc.titleA systematic review of the implementation and impact of asthma protocolsen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Dexheimer_Judith_BMCMedicalInformaticsDecisionMaking_2014.pdf
Size:
779.66 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.74 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Faculty and Staff Publications
 
University of Victoria Libraries

We acknowledge and respect the Lək̓ʷəŋən (Songhees and Esquimalt) Peoples on whose territory the university stands, and the Lək̓ʷəŋən and W̱SÁNEĆ Peoples whose historical relationships with the land continue to this day.