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International Journal of Pediatrics
Volume 2017, Article ID 3169098, 7 pages
https://doi.org/10.1155/2017/3169098
Research Article

Implementing an Oxygen Supplementation and Monitoring Protocol on Inpatient Pediatric Bronchiolitis: An Exercise in Deimplementation

1Forest Hills Pediatrics, Grand Rapids, MI, USA
2Quality and Safety Department, Helen DeVos Children’s Hospital, Grand Rapids, MI, USA
3Department of Surgery, Michigan State University, Lansing, MI, USA
4Grand Rapids Medical Education Partners, Grand Rapids, MI, USA
5Office of Research Administration, Spectrum Health, Grand Rapids, MI, USA
6Department of Pediatric Critical Care Medicine, Helen DeVos Children’s Hospital, Grand Rapids, MI, USA
7Department of Pediatrics, Michigan State University College of Human Medicine, Grand Rapids, MI, USA

Correspondence should be addressed to Surender Rajasekaran; gro.snerdlihcsovedneleh@narakesajar.rednerus

Received 24 May 2017; Revised 7 September 2017; Accepted 17 September 2017; Published 18 October 2017

Academic Editor: F. J. Kaskel

Copyright © 2017 Brian LeCleir et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. A. Norwood, J. M. Mansbach, S. Clark, M. Waseem, and C. A. Camargo Jr., “Prospective multicenter study of bronchiolitis: Predictors of an unscheduled visit after discharge from the emergency department,” Academic Emergency Medicine, vol. 17, no. 4, pp. 376–382, 2010. View at Publisher · View at Google Scholar · View at Scopus
  2. C. B. Hall, G. A. Weinberg, M. K. Iwane et al., “The Burden of respiratory syncytial virus infection in young children,” The New England Journal of Medicine, vol. 360, no. 6, pp. 588–598, 2009. View at Publisher · View at Google Scholar · View at Scopus
  3. K. Hasegawa, Y. Tsugawa, D. F. M. Brown, J. M. Mansbach, and C. A. Camargo Jr., “Trends in bronchiolitis hospitalizations in the United States, 2000-2009,” Pediatrics, vol. 132, no. 1, pp. 28–36, 2013. View at Publisher · View at Google Scholar · View at Scopus
  4. A. R. Schroeder, A. K. Marmor, R. H. Pantell, and T. B. Newman, “Impact of pulse oximetry and oxygen therapy on length of stay in bronchiolitis hospitalizations,” Archives of Pediatrics & Adolescent Medicine, vol. 158, no. 6, pp. 527–530, 2004. View at Publisher · View at Google Scholar · View at Scopus
  5. S. Ralston, A. Lieberthal, H. Meissner et al., “Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis,” Pediatrics, vol. 134, no. 5, pp. e1474–e1502, 2014. View at Google Scholar
  6. R. A. Quinonez and A. R. Schroeder, “Safely doing less and the new AAP bronchiolitis guideline,” Pediatrics, vol. 135, no. 5, pp. 793–795, 2015. View at Publisher · View at Google Scholar · View at Scopus
  7. V. Prasad and J. P. A. Ioannidis, “Evidence-based de-implementation for contradicted, unproven, and aspiring healthcare practices,” Implementation Science, vol. 9, no. 1, article no. 1, 2014. View at Publisher · View at Google Scholar · View at Scopus
  8. P. A. Ubel and D. A. Asch, “Creating value in health by understanding and overcoming resistance to de-innovation,” Health Affairs, vol. 34, no. 2, pp. 239–244, 2015. View at Publisher · View at Google Scholar · View at Scopus
  9. S. L. Ralston, M. D. Garber, E. Rice-Conboy et al., “A multicenter collaborative to reduce unnecessary care in inpatient bronchiolitis,” Pediatrics, vol. 137, no. 1, Article ID e20150851, 2016. View at Publisher · View at Google Scholar · View at Scopus
  10. S. Schuh, A. Lalani, U. Allen et al., “Evaluation of the utility of radiography in acute bronchiolitis,” Journal of Pediatrics, vol. 150, no. 4, pp. 429–433, 2007. View at Publisher · View at Google Scholar · View at Scopus
  11. K. Purcell and J. Fergie, “Lack of usefulness of an abnormal white blood cell count for predicting a concurrent serious bacterial infection in infants and young children hospitalized with respiratory syncytial virus lower respiratory tract infection,” The Pediatric Infectious Disease Journal, vol. 26, no. 4, pp. 311–315, 2007. View at Publisher · View at Google Scholar · View at Scopus
  12. J. D. Kellner, A. Ohlsson, A. M. Gadomski, and E. E. L. Wang, “Efficacy of bronchodilator therapy in bronchiolitis: a meta-analysis,” Archives of Pediatrics & Adolescent Medicine, vol. 150, no. 11, pp. 1166–1172, 1996. View at Publisher · View at Google Scholar · View at Scopus
  13. A. M. Gadomski and M. B. Scribani, “Bronchodilators for bronchiolitis,” Cochrane Database of Systematic Reviews, vol. 6, Article ID CD001266, pp. 1–74, 2014. View at Publisher · View at Google Scholar
  14. L. Hartling, N. Wiebe, K. Russell, H. Patel, and T. P. Klassen, “A meta-analysis of randomized controlled trials evaluating the efficacy of epinephrine for the treatment of acute viral bronchiolitis,” Archives of Pediatrics & Adolescent Medicine, vol. 157, no. 10, pp. 957–964, 2003. View at Publisher · View at Google Scholar · View at Scopus
  15. R. M. Fernandes, L. M. Bialy, B. Vandermeer et al., “Glucocorticoids for acute viral bronchiolitis in infants and young children,” Cochrane Database of Systematic Reviews, no. 6, Article ID CD004878, 2013. View at Publisher · View at Google Scholar · View at Scopus
  16. R. Farley, G. K. P. Spurling, L. Eriksson, and C. B. Del Mar, “Antibiotics for bronchiolitis in children under two years of age,” Cochrane Database of Systematic Reviews, vol. 10, Article ID CD005189, 2014. View at Publisher · View at Google Scholar · View at Scopus
  17. J. Cheney, S. Barber, L. Altamirano et al., “A clinical pathway for bronchiolitis is effective in reducing readmission rates,” Journal of Pediatrics, vol. 147, no. 5, pp. 622–626, 2005. View at Publisher · View at Google Scholar · View at Scopus
  18. S. Cunningham, A. Rodriguez, T. Adams et al., “Oxygen saturation targets in infants with bronchiolitis (BIDS): A double-blind, randomised, equivalence trial,” The Lancet, vol. 386, no. 9998, pp. 1041–1048, 2015. View at Publisher · View at Google Scholar · View at Scopus
  19. S. Cunningham and A. McMurray, “Observational study of two oxygen saturation targets for discharge in bronchiolitis,” Archives of Disease in Childhood, vol. 97, no. 4, pp. 361–363, 2012. View at Publisher · View at Google Scholar · View at Scopus
  20. J. J. Downes, D. Vidyasagar, G. M. Morrow, and T. R. Boggs, “Respiratory distress syndrome of newborn infants: I. New clinical scoring system (RDS score) with acid-base and blood- gas correlations,” Clinical Pediatrics, vol. 9, no. 6, pp. 325–331, 1970. View at Publisher · View at Google Scholar · View at Scopus
  21. D. F. Willson, S. D. Horn, J. O. Hendley, R. Smout, and J. Gassaway, “Effect of practice variation on resource utilization in infants hospitalized for viral lower respiratory illness,” Pediatrics, vol. 108, no. 4, pp. 851–855, 2001. View at Publisher · View at Google Scholar · View at Scopus
  22. S. Martin, J. Martin, and T. Seigler, “Evidence-based protocols to guide pulse oximetry and oxygen weaning in inpatient children with asthma and bronchiolitis: a pilot project,” Journal of Pediatric Nursing, vol. 30, no. 6, pp. 888–895, 2015. View at Publisher · View at Google Scholar · View at Scopus
  23. N. D. Werre, E. L. Boucher, and W. D. Beachey, “Comparison of therapist-directed and physician-directed respiratory care in COPD subjects with acute pneumonia,” Respiratory Care, vol. 60, no. 2, pp. 151–154, 2015. View at Publisher · View at Google Scholar · View at Scopus
  24. F. Hermeto, M. N. Bottino, K. Vaillancourt, and G. M. Sant'Anna, “Implementation of a respiratory therapist-driven protocol for neonatal ventilation: Impact on the premature population,” Pediatrics, vol. 123, no. 5, pp. e907–e916, 2009. View at Publisher · View at Google Scholar · View at Scopus
  25. S. L. Ralston, E. C. Atwood, M. D. Garber, and A. V. Holmes, “What works to reduce unnecessary care for bronchiolitis? A qualitative analysis of a national collaborative,” Academic Pediatrics, vol. 17, no. 2, pp. 198–204, 2017. View at Publisher · View at Google Scholar · View at Scopus
  26. M. G. Roback and M. N. Baskin, “Failure of oxygen saturation and clinical assessment to predict which patients with bronchiolitis discharged from the emergency department will return requiring admission,” Pediatric Emergency Care, vol. 13, no. 1, pp. 9–11, 1997. View at Publisher · View at Google Scholar · View at Scopus
  27. L. Brown, D. G. Reiley, A. Jeng, and S. M. Green, “Bronchiolitis: can objective criteria predict eligibility for brief hospitalization?” Canadian Journal of Emergency Medicine, vol. 5, no. 04, pp. 239–244, 2003. View at Publisher · View at Google Scholar