Bronchiolitis at a specialist paediatric centre: The electronic medical record helps to evaluate low-value care
Joanna G Lawrence, Lauren Andrew, Jenny Bracken, Alice Voskoboynik, Ed Oakley, Mike South, Katherine Middleton, Barry Scanlan, Tim Marshall, Harriet Hiscock
Journal of Paediatrics and Child Health | WILEY | Published : 2019
AIM: Low-value care (LVC) is common. We aimed, using infants presenting to a major tertiary paediatric hospital with bronchiolitis between April 2016 and July 2018, to: (i) assess rates of chest X-ray (CXR) and medication use; (ii) identify associated factors; and (iii) measure the harm of not performing these practices. METHODS: We extracted data from the electronic medical record for all children aged 1-12 months given a diagnosis of bronchiolitis in the emergency department. Factors potentially associated with LVC practices were extracted, including patient demographics, ordering physician characteristics, order indication, medications prescribed and admission ward. To assess for harm, a ..View full abstract
Awarded by NHMRC Practitioner Fellowship
Murdoch Children's Research Institute is supported by the Victorian Government's Operational Infrastructure Support Program. H Hiscock is supported by an NHMRC Practitioner Fellowship (1136222). JG Lawrence and T Marshall are supported by a Choosing Wisely grant through Better Care Victoria.