Pediatric asthma exacerbations account for >1.8 million ED visits annually. Guidelines can decrease variability in asthma treatment and improve clinical outcomes; however, guideline adherence is inadequate. We evaluated a computerized asthma detection system based upon the NHLBI guidelines and evidence-based practice to improve care in a pediatric ED in a two phase study. Phase I looked at using an automatic disease detection system to identify eligible patients and then printing the paper-based guideline. Phase II implemented a fully computerized asthma management system. Although the time to disposition decision was not statistically significant, we believe this management system to be a sustainable computerized management system to help standardize asthma care. The computerized asthma management system represents a work-flow oriented, sustainable approach in a challenging environment.
| Identifer | oai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-03282011-141300 |
| Date | 15 April 2011 |
| Creators | Dexheimer, Judith Wehling |
| Contributors | Dominik Aronsky, Donald H Arnold, Kevin B Johnson, Neal Patel, Yu Shyr |
| Publisher | VANDERBILT |
| Source Sets | Vanderbilt University Theses |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.vanderbilt.edu/available/etd-03282011-141300/ |
| Rights | restricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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