Using Quality Improvement Science to Implement a Multidisciplinary Behavioral Intervention Targeting Pediatric Inpatient Airway Clearance

Objective The objective of this study was to use quality improvement science methodology to develop a multidisciplinary intervention improving occurrence of best-practice airway clearance therapy (ACT) in inpatient adolescents with cystic fibrosis during routine clinical care. Methods The model for...

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Bibliographic Details
Published in:Journal of pediatric psychology 2010, Vol.35 (1), p.14-24
Main Authors: Ernst, Michelle M, Wooldridge, Jamie L, Conway, Edward, Dressman, Kathy, Weiland, Jeanne, Tucker, Karen, Seid, Michael
Format: Article
Language:English
Subjects:
adherence
Adolescent
cystic fibrosis
Cystic Fibrosis - therapy
Evidence-Based Medicine
evidence-based practice
Female
Humans
Inpatients
Male
Outcome Assessment (Health Care)
Patient Care Team
Physical Therapy Specialty
Quality of Health Care
research design and methods
Total Quality Management
Treatment Outcome
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Summary:Objective The objective of this study was to use quality improvement science methodology to develop a multidisciplinary intervention improving occurrence of best-practice airway clearance therapy (ACT) in inpatient adolescents with cystic fibrosis during routine clinical care. Methods The model for improvement was used to develop and implement interventions. Primary outcomes were quality of ACT (% ACT meeting criteria for best practice) and quantity of ACT (% of hospital days patients received ACT four times/day). Annotated control charts were used to document the impact of the interventions. Results Quality of ACT significantly improved from 21% best practice ACT at baseline to 73%. Quantity of ACT significantly improved from 41% days with ACT four times/day at baseline to 64%. Conclusions A multidisciplinary, evidence-based intervention was effective for improving occurrence of best-practice ACT. Pediatric psychology can make valuable contributions to improving the quality of care provided in the medical setting.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jsp013