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Breathing easy: implementing a bronchiolitis protocol

Angela Black1, Rita Allen Brennan

  • 1PICU, Inpatient Pediatrics, and Pediatric Short Stay Central DuPage Hospital, Winfield, IL, USA.

Pediatric Nursing
|July 12, 2011
PubMed

Insights

A revised pediatric bronchiolitis protocol improved compliance and patient outcomes. The updated guidelines led to increased protocol adherence and reduced length of stay and treatment costs.

Area of Science:

  • Pediatric Medicine
  • Respiratory Illness Management

Background:

  • A 2005 protocol for pediatric bronchiolitis had low compliance.
  • Revisions were necessary to improve adherence and patient care.

Purpose of the Study:

  • To evaluate the impact of a revised bronchiolitis management protocol.
  • To assess changes in clinical practice and patient outcomes post-revision.

Main Methods:

  • A pre- and post-implementation study design was employed.
  • Chart review and descriptive statistics were used to analyze key variables.
  • Variables included protocol use, suctioning frequency, medication use, length of stay, and charges.

Main Results:

  • Protocol adherence increased from 20% to 68%.
  • Appropriate suctioning per protocol rose from 9% to 66%.
  • Beta2-agonist medication use decreased from 70% to 48%.
  • Length of stay decreased from 3.25 to 2.23 days.
  • Charges per case decreased by approximately $1000.

Conclusions:

  • The revised pediatric bronchiolitis protocol significantly improved adherence and clinical outcomes.
  • Implementation led to more evidence-based care and reduced healthcare costs.

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