Updating asthma management: The process of change

Abstract

A strategic approach to changing clinical practice that is managed by a multidiscplinary team is an effective way of implementing new treatment methods or approaches to patient care. The Royal Children's Hospital, Melbourne, Australia, a tertiary pediatric hospitals, instituted new Asthma Delivery Device Guidelines in recognition of current evidence that described the benefits of treating acute pediatric asthma with pressurized metered dose inhalers and spaces devices. The working group that coordinated the project attributes the successful change in practice to a multifaceted, multidisciplinary approach, a signuficant planning stage, initial and ongoing intensive staff and patient/parent ed..