Updating asthma management: The process of change☆☆☆★★★♢♢♢
Abstract
A strategic approach to changing clinical practice that is managed by a multidisciplinary team is an effective way of implementing new treatment methods or approaches to patient care. The Royal Children's Hospital, Melbourne, Australia, a tertiary pediatric hospital, instituted new Asthma Delivery Device Guidelines in recognition of current evidence that described the benefits of treating acute pediatric asthma with pressurized metered dose inhalers and spacer devices. The working group that coordinated the project attributes the successful change in practice to a multifaceted, multidisciplinary approach, a significant planning stage, initial and ongoing intensive staff and patient/parent education, and accessibility of information. J Pediatr Health Care. (2001). 15, 20-23.
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☆ Colin V.E. Powell is Consultant Pediatrician and Senior Lecturer in Pediatrics, Department of Emergency Medicine, Royal Children's Hospital, Melbourne, Australia.
☆☆ Michael K. Marks is Senior Lecturer, Department of Pediatrics, University of Melbourne, and Pediatrician, Department of General Pediatrics, Royal Children's Hospital, Melbourne, Australia.
★ Mike South is Director, Department of General Medicine, Deputy Director, Division of Medicine, and Specialist in Intensive Care, Royal Children's Hospital, and Associate Professor, Department of Pediatrics, University of Melbourne, Australia.
★★ Colin F. Robertson is Deputy Director, Department of Respiratory Medicine, Royal Children's Hospital, Melbourne, Australia.
♢ Reprint requests: Gill Maskell, Hospital Support Unit, Royal Children's Hospital, Flemington Rd, Parkville, Victoria, Australia 3052.
♢♢ J Pediatr Health Care. (2001). 15, 20-23
PII: S0891-5245(01)64319-0
doi:10.1067/mph.2001.109944
© 2001 National Association of Pediatric Nurse Associates & Practitioners. Published by Elsevier Inc. All rights reserved.
