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Related Experiment Video

Updated: Aug 4, 2025

Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism

Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism

Published on: February 14, 2022

Optimizing Respiratory Therapy Resources by De-Implementing Low-Value Care.

Kellianne Fleming¹, Jessica L George¹, Sarah J Bazelak¹

¹Pulmonary Services, Froedtert Health, Milwaukee, Wisconsin.

Respiratory Care

|April 4, 2023

Summary

This summary is machine-generated.

Respiratory therapists can now limit unnecessary hypertonic saline/N-acetylcysteine treatments, reducing workload and staffing needs. This de-implementation strategy improved efficiency and adherence to clinical guidelines.

Keywords:

De-implemention N-acetylcysteine health workforce hypertonic saline nebulizer

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Published on: May 10, 2024

Area of Science:

Respiratory Therapy
Healthcare Management
De-implementation Science

Background:

COVID-19 pandemic exacerbated respiratory therapy staffing shortages due to excessive workload.
Identified limiting 3% hypertonic saline and/or N-acetylcysteine nebulizer therapies (3%HTS/NAC) as a key opportunity to reduce burden.

Discussion:

A de-implementation policy empowered respiratory therapists to discontinue 3%HTS/NAC not meeting AARC guidelines.
Physician and advanced practice practitioner education preceded policy implementation.
Outcomes included monthly treatments, orders, and full-time employees for nebulized 3%HTS/NAC.

Key Insights:

Significant reduction in monthly 3%HTS/NAC treatments (3,565.2 to 547.5) and associated full-time employees (5.1 to 0.8).
Monthly mean orders for 3%HTS/NAC also decreased significantly (370.0 to 93.8).
Non-3%HTS/NAC treatments remained stable, indicating no impact on other essential therapies.

Outlook:

Empowering respiratory therapists to enforce AARC guidelines can reduce low-value therapies.
This approach effectively lowers healthcare costs and staffing requirements.
Potential for broader application in optimizing respiratory care delivery and resource allocation.