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Clinical Pediatrics
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What Providers from General Emergency Departments Say about Implementing a Pediatric Asthma Pathway

Frances Dunn Butterfoss, PhD, MEd

Center for Pediatric Research, Sewells Point District, Norfolk

Debra A. Major, PhD

Department of Psychology, Old Dominion University, Sewells Point District, Norfolk

Suzanne M. Clarke, MS

Department of Psychology, Old Dominion University, Sewells Point District, Norfolk

Rebekah A. Cardenas, MS

Department of Psychology, Old Dominion University, Sewells Point District, Norfolk

Daniel J. Isaacman, MD

University of Pennsylvania School of Medicine, Collegeville, PA

Jon D. Mason, MD

Emergency Physicians of Tidewater, Sewells Point District, Norfolk

Daryl L. Clements, NREMT-P

Navy Region Mid-Atlantic Five & Emergency Services, Sewells Point District, Norfolk

The goal of this study was to assess institutional climate and providers’ readiness to adopt pediatric pathways for asthma treatment and management. Twelve focus groups were held with 24 physicians/physicians’ assistants, 20 nurses, and 17 emergency medical technicians from emergency departments in 4 general hospitals from July to October 2002. Positive experience with previous pathways, open communication and buy-in from clinicians and administrators, comprehensive training on pathways, and adapting standards to fit specific emergency department environments were identified as necessary elements for pathway adoption. Providers were optimistic about successfully implementing an asthma pathway (95%) and supportive of pathway implementation (87%).

Clinical Pediatrics, Vol. 45, No. 4, 325-333 (2006)
DOI: 10.1177/000992280604500404
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