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    Design and implementation of a computerized asthma management system in the pediatric emergency department

    Dexheimer, Judith Wehling
    : https://etd.library.vanderbilt.edu/etd-03282011-141300
    http://hdl.handle.net/1803/11606
    : 2011-04-15

    Abstract

    Pediatric asthma exacerbations account for >1.8 million ED visits annually. Guidelines can decrease variability in asthma treatment and improve clinical outcomes; however, guideline adherence is inadequate. We evaluated a computerized asthma detection system based upon the NHLBI guidelines and evidence-based practice to improve care in a pediatric ED in a two phase study. Phase I looked at using an automatic disease detection system to identify eligible patients and then printing the paper-based guideline. Phase II implemented a fully computerized asthma management system. Although the time to disposition decision was not statistically significant, we believe this management system to be a sustainable computerized management system to help standardize asthma care. The computerized asthma management system represents a work-flow oriented, sustainable approach in a challenging environment.
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