Summary

for people ages 18 years and up (full criteria)
healthy people welcome
at San Francisco, California
study started
estimated completion:
Sunitha V Kaiser

Description

Summary

Background: Asthma affects nearly 10% of American children, and is a leading cause of pediatric emergency visits and hospitalizations. Clinical pathways are operational versions of practice guidelines aimed at the hospital management of common illnesses. Single-site studies of pediatric asthma pathways have shown significant improvements in quality of care. Primary Objective: To evaluate the effectiveness of clinical pathways for improving quality of care for children with asthma in a diverse, national sample of emergency department (ED) and hospital settings. Primary Endpoints: 1. Emergency Department: The proportion of eligible children who receive systemic steroids within 60 minutes of ED arrival 2. Inpatient/Hospital: Mean length of hospital stay Study Design: This project will be implemented through an established quality improvement collaborative of hospitals across the United States, the Value in Inpatient Pediatrics Network (part of the American Academy of Pediatrics). A cluster randomized design will be employed. Group 1 hospitals will receive a multifaceted implementation strategy that includes: 1) a pathway implementation toolkit, 2) local multidisciplinary champions in the ED and inpatient settings, 3) audit and feedback, 4) educational seminars, and 5) practice facilitation (via teleconference). Group 2 will receive the same intervention with the addition of a mobile app pathway tool.

Official Title

The PIPA Study (Pathways for Improving Pediatric Asthma Care): A Cluster Randomized Trial

Keywords

Asthma PIPA Intervention Bundle 1 PIPA Intervention Bundle 2

Eligibility

For people ages 18 years and up

Participant/Local champion Eligibility Criteria:

Inclusion Criteria:

  • Working as a physician at the study site

Exclusion Criteria:

Patient/child eligibility criteria:

Inclusion Criteria:

  • Age 2-17 years
  • Primary diagnosis of asthma

Exclusion Criteria:

  • Transferred in from another inpatient facility
  • Presence of a chronic medical condition that precludes pathway use

Location

  • University of California
    San Francisco California 94158 United States

Lead Scientist

  • Sunitha V Kaiser
    Dr. Kaiser's goal is to improve quality of care for hospitalized children by accelerating use of evidence-based guidelines in clinical practice. She is currently supported by a Career Development Award from the Agency for Healthcare Research and Quality.

Details

Status
in progress, not accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Francisco
ID
NCT03736603
Study Type
Interventional
Last Updated