Improving the quality of care for children with wheeze: The use of electronic asthma action plans and electronic pre-school wheeze action plans

Journal article


O'Leary, Fenton, Pegiazoglou, Ioannis, Marshall, Tracey, Thosar, Deepali, Deck, Mitchell, Peat, Jennifer, Ging, Joanna and Selvadurai, Hiran. (2016). Improving the quality of care for children with wheeze: The use of electronic asthma action plans and electronic pre-school wheeze action plans. Journal of Paediatrics and Child Health. https://doi.org/10.1111/jpc.13343
AuthorsO'Leary, Fenton, Pegiazoglou, Ioannis, Marshall, Tracey, Thosar, Deepali, Deck, Mitchell, Peat, Jennifer, Ging, Joanna and Selvadurai, Hiran
Abstract

Aim: To measure the long-term improvement in the documented provision of an asthma action plan (AAP) to children with asthma and wheeze discharged from the Emergency Department following the introduction of the electronic AAP (eAAP) and to determine the need for an electronic pre-school wheeze action plan in our population. Methods: A retrospective case note review, from July 2014 to June 2015, of all patients over 12 months old discharged from the Emergency Department or Emergency Medical Unit, with a discharge diagnosis of either asthma or wheeze. The primary outcome was the documentation of an AAP, either recorded electronically as an eAAP or a report of an AAP as part of the patient medical record. Results: Two thousand three hundred and forty-two patients were included in the study, 926 with asthma and 1416 with wheeze. The median age was 3.3 years (interquartile range (IQR) 3.5, range 1–15.9 years). The median age of the children with asthma was 5.3 years (IQR 4.6) and of the children with wheeze was 2.5 years (IQR 2.0).Overall, 1683 (71.9%) children had a documented AAP, with a significant difference between those with a discharge diagnosis of asthma (85.9%) compared with wheeze (62.9%), P  <  0.001. These results justified the design of the electronic pre-school wheeze action plan. Conclusions: The integration of an eAAP into the Emergency Department has resulted in a sustained improvement in the documented provision of an AAP to children with a discharge diagnosis of asthma. Children with a discharge diagnosis of wheeze are significantly less likely to receive an action plan.

Keywordsasthma; child; education; pre-school; quality improvement
Year2016
JournalJournal of Paediatrics and Child Health
PublisherBlackwell Publishing
Digital Object Identifier (DOI)https://doi.org/10.1111/jpc.13343
Open accessOpen access
Publisher's version
Additional information

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Place of publicationAustralia
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