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Published on: November 4, 2010

Development of an asthma management system in a pediatric emergency department

Judith W Dexheimer1, Donald H Arnold, Thomas J Abramo

  • 1Dept. of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.

AMIA ... Annual Symposium Proceedings. AMIA Symposium
|March 31, 2010
PubMed

Insights

A new computerized system aims to improve pediatric asthma care by providing automatic prompts and reminders. This technology seeks to enhance adherence to asthma guidelines in emergency departments, leading to better patient outcomes.

Area of Science:

  • Pediatric Emergency Medicine
  • Health Informatics
  • Clinical Decision Support Systems

Background:

  • Asthma is a primary chronic illness in children, frequently leading to emergency department visits due to exacerbations.
  • Suboptimal adherence to clinical guidelines negatively impacts pediatric asthma patient care.
  • Computerized systems offer a potential solution for improving guideline adherence through automated prompts and reminders.

Purpose of the Study:

  • To design and evaluate a computerized asthma management system for pediatric emergency departments.
  • To assess the effectiveness of a computerized diagnostic prompt based on existing asthma protocols.
  • To evaluate a comprehensive management system incorporating temporal reminders for assessment and medication orders.

Main Methods:

  • Development of a computerized asthma care management system in collaboration with a pediatric emergency department multidisciplinary team.
  • Phase 1: Evaluation of a computerized diagnostic prompt integrated with the current emergency department asthma protocol.
  • Phase 2: Evaluation of a computerized asthma management system featuring automated reminders for scoring and medication management.

Main Results:

  • The computerized management system is designed for fully automated operation.
  • A prospective evaluation of the diagnostic component of the system is currently underway.
  • The system integrates diagnostic prompts and management reminders to support guideline adherence.

Conclusions:

  • Computerized guideline systems hold promise for enhancing asthma care compliance in pediatric emergency settings.
  • Automated prompts and reminders can address suboptimal guideline adherence.
  • The developed system aims to streamline and improve the management of pediatric asthma exacerbations.

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