Intervention beneficial for acute gastroenteritis patients

September 7, 2017

(HealthDay)—Implementation of a clinical pathway to improve care of acute gastroenteritis (AGE) patients is associated with a sustained reduction in intravenous (IV) fluid use and length of stay (LOS) in the pediatric emergency department (ED), according to a study published online Sept. 7 in Pediatrics.

Lori Rutman, M.D., M.P.H., from the University of Washington in Seattle, and colleagues implemented a in the pediatric ED in January 2005 to improve care for AGE. They examined the long-term impact of the pathway for AGE, which included oral rehydration therapy as a first-line treatment followed by ondansetron as a safe and effective adjunct in children with vomiting, on the proportion of patients receiving IV fluids and ED LOS. Process and outcomes measures were examined for two years before and 10 years after pathway implementation.

Data were included for 30,519 patients. The researchers identified special cause variation with a downward shift in patients receiving IV fluids after pathway initiation and subsequently with addition of ondansetron to the (reduction from 48 to 26 percent). For discharged patients with AGE, the mean ED LOS decreased from 247 to 172 minutes. Over time, these improvements were sustained.

"Our results suggest that quality-improvement interventions for AGE can have long-term impacts on care delivery," the authors write.

Explore further: New referral pathway cuts palliative radiotherapy wait

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

New referral pathway cuts palliative radiotherapy wait

September 7, 2017
(HealthDay)—Use of an advanced practice radiation therapist (APRT) may help reduce radiotherapy waiting times for palliative patients, according to a study published Aug. 29 in the Journal of Medical Radiation Sciences.

Adherence to bronchiolitis guidelines cuts LOS, costs

February 9, 2017
(HealthDay)—Adherence to bronchiolitis clinical pathway recommendations is associated with reduced length of stay (LOS) and costs, according to a study published online Feb. 9 in Pediatrics.

Quality improvement methods improve asthma care

October 28, 2016
(HealthDay)—Implementation of quality improvement (QI) methods can improve timely administration of short-acting β-agonists (SABAs) for acute asthma in a pediatric emergency department, according to a study published online ...

Enhanced recovery pathway for colorectal surgical patients improves outcomes, reduces cost

July 24, 2017
A protocol that standardizes care before, during, and after colorectal operations has reduced hospital stays by more than half, reduced complications by more than one-third, and cut costs up to $11,000 per procedure, according ...

Lean six sigma approach ups quality of hip replacement Sx

May 22, 2015
(HealthDay)—The Lean Six Sigma approach can be implemented to improve quality of care and reduce costs in prosthetic hip replacement surgery, according to a study published online May 11 in the Journal of Evaluation in ...

Recommended for you

The inequalities of prenatal stress

August 14, 2018
Exposure to an acute stress in utero can have long-term consequences extending into childhood – but only among children in poor households, according to a new Stanford study that looked at the long-term impact of acute, ...

Promoting HPV vaccine doesn't prompt risky sex by teens: study

August 13, 2018
(HealthDay)—Controversial state laws that promote vaccinating kids against the human papillomavirus (HPV) do not increase the likelihood that teens will engage in risky sexual behavior, a new study contends.

Grip strength of children gives clues about their future health

August 13, 2018
While other studies have shown that muscle weakness as measured by grip strength is a predictor of unhealthy outcomes—including cardiovascular and metabolic diseases, disability and even early mortality—this is the first ...

Prenatal vitamin D pills won't boost babies' growth: study

August 9, 2018
(HealthDay)—For pregnant women who are vitamin D-deficient, vitamin supplements won't improve the growth of their fetus or infant, Canadian researchers report.

Giving kids plates with segments and pictures caused them to eat more vegetables

August 8, 2018
A pair of researchers at the University of Colorado has found that preschool kids ate more vegetables when presented with segmented plates with pictures of fruits and vegetables on them. In their paper published in JAMA Pediatrics, ...

Is too much screen time harming children's vision?

August 6, 2018
As children spend more time tethered to screens, there is increasing concern about potential harm to their visual development. Ophthalmologists—physicians who specialize in medical and surgical eye care—are seeing a marked ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.