Summary
Degree of compliance with health care quality criteria in the treatment of lower airway obstruction in Spanish pediatric emergency departments, reasons for noncompliance, and recommendations for improvement
Claret Teruel G, Solé Ribalta A, González Balenciaga M, Paniagua Calzón NM, Korta Murua J
Affiliation of the authors
Servicio de Urgencias, Hospital Sant Joan de Déu, Barcelona, Spain. Servicio de Pediatría, Hospital Sant Joan de Déu, Barcelona, Spain. Servicio de Urgencias, Hospital Universitario Cruces, Bilbao, Spain. Biocruces, Instituto de Investigación Sanitaria, Spain. Sección de Neumología Infantil, Hospital Universitario Donostia, San Sebastián, Spain. Departamento de Pediatría, Universidad del País Vasco VPV/EHV, Servicio de Urgencias, Hospital Sant Joan de Déu, Barcelona, Spain. Servicio de Pediatría, Hospital Sant Joan de Déu, Barcelona, Spain. Servicio de Urgencias, Hospital Universitario Cruces, Bilbao, Spain. Biocruces, Instituto de Investigación Sanitaria, Spain. Sección de Neumología Infantil, Hospital Universitario Donostia, San Sebastián, Servicio de Urgencias, Hospital Sant Joan de Déu, Barcelona, Spain. Servicio de Pediatría, Hospital Sant Joan de Déu, Barcelona, Spain. Servicio de Urgencias, Hospital Universitario Cruces, Bilbao, Spain. Biocruces, Instituto de Investigación Sanitaria, Spain. Sección de Neumología Infantil, Hospital Universitario Donostia, San Sebastián, Spain. Departamento de Pediatría, Universidad del País Vasco VPV/EHV, Spain. Departamento de Pediatría, Universidad del País Vasco VPV/EHV, Spain.
DOI
Quote
Claret Teruel G, Solé Ribalta A, González Balenciaga M, Paniagua Calzón NM, Korta Murua J. Degree of compliance with health care quality criteria in the treatment of lower airway obstruction in Spanish pediatric emergency departments, reasons for noncompliance, and recommendations for improvement. Emergencias. 2016;28:167-72
Summary
Objectives.
Methods.
noncompliance. Finally, a group of experts followed a process to produce consensus-based recommendations to improve quality of care through compliance with the indicators.
Results.
treatment with inhalers and a spacer. The most common reasons for noncompliance were lack of time or material and the absence of the recommendation in protocols. The following improvement steps were recommended: reassess the usefulness of peak flow measurement in PEDs, reformulate the criteria for delay in attending patients with severe dyspnea, and adopt new indicators and templates that facilitate the recording of vital constants and scores on severity scales.
Conclusions.