The authors respond to: Physician-ordered aerosol therapy versus respiratory therapist-driven aerosol protocol: effect on resource utilization.
نویسندگان
چکیده
The article by Kallam and colleagues1 about the potential financial advantages of protocol-driven bronchodilator therapy provides an important perspective. However, there are no data about the validation of the scoring tool or the evidence supporting the correlation of the bronchodilator orders with the assessment score. While we await their report on their before-and-after project examining clinical outcomes, can they provide this missing information?
منابع مشابه
Physician-ordered aerosol therapy versus respiratory therapist-driven aerosol protocol: the effect on resource utilization.
BACKGROUND The utilization of respiratory therapist (RT) driven protocols for single interventions, such as oxygen titration and bronchopulmonary hygiene, and protocols consisting of multiple interventions have been associated with improvements in resource utilization. Based on this, we started a quality improvement project to transition the delivery of respiratory care services from physician-...
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BACKGROUND The purpose of this retrospective medical record review was to report on recidivism to the ICU among adult postoperative cardiac and thoracic patients managed with a respiratory therapy assess-and-treat (RTAT) protocol. Our primary null hypothesis was that there would be no difference in all-cause unexpected readmissions and escalations between the RTAT group and the physician-ordere...
متن کاملCan respiratory therapist-driven protocols improve resource utilization?
A high variability in the practice of medicine has contributed, in part, to higher healthcare costs and poor adherence to evidence-based interventions. For this reason, protocol-based strategies have been developed to reduce the lack of concordance in an attempt to improve clinical outcomes. In the respiratory care setting, non-physiciandriven protocols have been compared with physician-directe...
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We prospectively investigated the large-scale implementation of a respiratory-therapist-driven protocol (TDP) that included 117 respiratory care practitioners (RCPs) managing 1,067 patients with respiratory failure over 9,048 patient days of mechanical ventilation. During a 12-mo period, we reintroduced a previously validated protocol that included a daily screen (DS) coupled with spontaneous b...
متن کاملThe effect of a mechanical ventilation discontinuation protocol in patients with simple and difficult weaning: impact on clinical outcomes.
OBJECTIVE We sought to determine whether the utilization of a respiratory therapist (RT) driven mechanical ventilation weaning protocol is associated with improvement in clinical outcomes in subjects with simple versus difficult weaning. METHODS This was a retrospective analysis of prospectively collected data obtained during a quality improvement project. We collected data on 803 consecutive...
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ورودعنوان ژورنال:
- Respiratory care
دوره 58 7 شماره
صفحات -
تاریخ انتشار 2013