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- L Z Webb, D H Kuykendall, R S Zeiger, S L Berquist, D Lischio, T Wilson, and C Freedman.
- Nursing Services, Kaiser Foundation Hospital, San Diego, CA 92120.
- QRB Qual Rev Bull. 1992 Dec 1; 18 (12): 471-6.
AbstractThis study assesses the effects of a status asthmaticus guideline on patient outcome and pediatrician behavior in a staff model health maintenance organization (HMO). The guidelines were drafted by an asthma specialist in the HMO and then discussed with key clinical personnel. A preprinted protocol order form was developed to help implement the guideline into clinical practice. The medical records of pediatric patients admitted to the hospital with status asthmaticus before (N = 67) and after (N = 59) guideline development and implementation were reviewed. This study demonstrates that locally developed, treatment-specific guidelines based on scientific evidence and combined with a staff consensus process and a user-friendly protocol form can influence physician behavior and patient outcome positively.
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