Improving croup management at a pediatric emergency department

Over-testing and over-treatment are common in children with croup at pediatric emergency departments (PED). The objective of the study was to improve care for children with croup. In this quality improvement (QI) initiative, all pediatric residents starting their rotation in the PED attended an info...

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Bibliographic Details
Published in:Postgraduate medicine 2024-05, Vol.136 (4), p.1-445
Main Authors: Akcan Yildiz, Leman, Akca, Halise, Kurt, Funda, Hanalioglu, Damla, Cetin, Meltem, Senel, Saliha, Karacan, Can Demir
Format: Article
Language:English
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Summary:Over-testing and over-treatment are common in children with croup at pediatric emergency departments (PED). The objective of the study was to improve care for children with croup. In this quality improvement (QI) initiative, all pediatric residents starting their rotation in the PED attended an informative presentation about croup and were provided reminders throughout their rotation. The primary outcome of this QI initiative was to reduce nebulized epinephrine (NE) use among children with mild croup by 50% over 7 months. The secondary outcome was to reduce X-rays by 50% over 7 months. Other outcomes included the administration of dexamethasone to all children with croup, reduction of antibiotics, laboratory tests, and revisits, and shortening the duration between physical examination to dexamethasone and NE treatments, and the length of stay (LOS) at the PED. NE administration to patients with mild croup decreased from 80.2% to 36.3% (  
ISSN:0032-5481
1941-9260
1941-9260
DOI:10.1080/00325481.2024.2360889