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QRB Qual Rev Bull. 1992 Dec;18(12):471-6.

The impact of status asthmaticus practice guidelines on patient outcome and physician behavior.

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1
Nursing Services, Kaiser Foundation Hospital, San Diego, CA 92120.

Abstract

This study assesses the effects of a status asthmaticus guideline on patient outcome and pediatrician behavior in a staff model health maintenance organization (HMO). The guidelines were drafted by an asthma specialist in the HMO and then discussed with key clinical personnel. A preprinted protocol order form was developed to help implement the guideline into clinical practice. The medical records of pediatric patients admitted to the hospital with status asthmaticus before (N = 67) and after (N = 59) guideline development and implementation were reviewed. This study demonstrates that locally developed, treatment-specific guidelines based on scientific evidence and combined with a staff consensus process and a user-friendly protocol form can influence physician behavior and patient outcome positively.

PMID:
1287531
[Indexed for MEDLINE]
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