Improving Asthma Control through Asthma Action Plans: A Quality Improvement Project at a Midwest Community Clinic.

Autor: Akhter LS; a School of Nursing, University of Minnesota , Minneapolis , Minnesota., Monkman JL; b Institute for Clinical Systems Improvement , Bloomington , Minnesota., Vang G; c Hennepin County Medical Center, Ambulatory Administration , Minneapolis , Minnesota., Pfeiffer J; a School of Nursing, University of Minnesota , Minneapolis , Minnesota.
Jazyk: angličtina
Zdroj: Journal of community health nursing [J Community Health Nurs] 2017 Jul-Sep; Vol. 34 (3), pp. 136-146.
DOI: 10.1080/07370016.2017.1340764
Abstrakt: This urban community clinic had poor asthma outcomes compared to the state of Minnesota. The standard of care supports an annual Asthma Action Plan (AAP). However, the majority of patients at this clinic had not received one. This quality improvement project aimed to improve asthma control, measured by an asthma control test of at least 20, through AAP implementation supported by all team members. The clinic's interdisciplinary champion group implemented workflow changes via practice facilitation and Plan-Do-Study-Act cycles. Asthma control rates increased from 23% to 58% in adults and 45% to 63% in children over one year, a statistically significant change.
Databáze: MEDLINE