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 effects of happiness and sadness on children's snack consumption

February 19, 2018
A University of Texas at Dallas psychologist has examined the preconceptions about the effects of emotions on children's eating habits, creating the framework for future studies of how dietary patterns evolve in early childhood.

Cycle of infant reflux signals a call to help mothers

February 14, 2018
Western Sydney University research has found that first-time mothers with mental health issues – in particular, maternal anxiety – are five times as likely to have their baby noted as having reflux when admitted to hospital.

Safe-sleep recommendations for infants have not reduced sudden deaths in newborns

February 14, 2018
An analysis of trends in sudden unexpected infant death (SUID) over the past two decades finds that the drop in such deaths that took place following release of the 1992 American Academy of Pediatrics (AAP) "back to sleep" ...

Most children with sickle cell anemia not receiving key medication to stay healthy

February 13, 2018
One of the greatest health threats to children with sickle cell anemia is getting a dangerous bacterial infection—but most are not receiving a key medication to reduce the risk, a new study suggests.

Premature babies' low blood pressure puzzle explained

February 13, 2018
Scientists have discovered crucial new information about how a foetus develops which could explain why very premature babies suffer low blood pressure and other health problems.

Babies face higher SIDS risk in certain states

February 12, 2018
(HealthDay)—Sudden infant death syndrome (SIDS) claims the lives of some 3,500 babies in the United States each year, but its toll is far heavier in some states than others, health officials report.

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.