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

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...

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Veröffentlicht in:Journal of paediatrics and child health 2016-09, Vol.52 (9), p.872-876
Hauptverfasser: O'Leary, Fenton, Pegiazoglou, Ioannis, Marshall, Tracey, Thosar, Deepali, Deck, Mitchell, Peat, Jennifer, Ging, Joanna, Selvadurai, Hiran
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Sprache:eng
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Zusammenfassung: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 
ISSN:1034-4810
1440-1754
1440-1754
DOI:10.1111/jpc.13343