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WIHI: Topping the Charts in Pediatrics and Adverse Events Reporting
February 26, 2015 | Leaders of the teams behind the winning presentations presented at IHI’s 20th Annual Scientific Symposium in December 2014 talk about their work, including the most recent data about each improvement endeavor and how new processes and pathways can be sustained.
WIHI: Minimally Disruptive Medicine
August 9, 2012 | Minimally disruptive medicine is an approach to chronic disease that seeks to design effective treatment programs for patients that fit with their goals and contexts, thus minimizing the burden of treatment.
Changes to Improve Chronic Care
Organizations must focus on six fundamental areas that form a system that encourages high-quality chronic disease management, as well as develop productive interactions between patients who take an active part in their care and providers who have the necessary resources and expertise.
Follow Up and Monitor Self-Management Goals for People with Chronic Conditions
Follow up and monitor self-management goals for chronic conditions.
Meaningful disparities reduction through research and translation programs
The authors describe an approach for making equity an integral component and explicit requirement of governmental and private funding announcements aimed at improving quality of care and outcomes.
Self-Management Support: Patient Planning Worksheet
This worksheet helps people with chronic illnesses develop a personal plan to learn a new behavior, such as starting a program to increase their physical activity.
Asthma Training Manual
IHI, with support from the Bureau of Primary Health Care (BPHC), has developed training manuals to help health centers improve care for their patients with chronic illness.
The burden of asthma in the United States: Level and distribution are dependent on interpretation of the national asthma education and prevention program guidelines
This large cross-sectional survey highlights the relative prevalence of persistent asthma. Classification according to the guidelines depends on the exact method used.
Lower physician estimate of underlying asthma severity leads to undertreatment
The authors of this article stress that accurate and current severity assessment is a key first step in appropriate management of asthma.
Who gets diagnosed with asthma? Frequent wheeze among adolescents with and without a diagnosis of asthma
In this article, the authors contend that undiagnosed frequent wheezing may lead to under-treatment of asthma in adolescents.
Metered-dose inhalers with spacers vs nebulizers for pediatric asthma
Article describing a study which concluded metered-dose inhalers with spacers are as effective as nebulizers in treatment of acute asthma in children.
Effects of two inhaled corticosteroids on growth: Results of a randomized controlled trial
Article describing a study which concluded fluticasone may be more effective than beclomethasone for long-term treatment of childhood asthma and has similar rates of adverse events.
Poor inhalation technique, even after inhalation instructions, in children with asthma
This evaluation of children’s inhalation technique revealed numerous deficiencies, even after instruction.
Asthma management and environmental tobacco smoke exposure reduction in Latino children: A controlled trial
An article describing a study which concluded coaching to reduce environmental tobacco smoke appears to enhance asthma management education.
Smoking patterns among adolescents with asthma attending upper secondary schools: A community-based study
Article which describes a study which shows Danish teens with asthma appear to smoke more than their peers in a national cross-sectional study.
A smoking cessation intervention for parents of children who are hospitalized for respiratory illness: The stop tobacco outreach program
Article which documents a smoking cessation program for parents of children hospitalized for respiratory illness which was feasible and well accepted by participants.
Effectiveness of routine self monitoring of peak flow in patients with asthma
An article which describes a randomized trial that failed to demonstrate a benefit to routine peak flow monitoring.
Stoplight (Red-Yellow-Green) Tools for Patients with Asthma or Diabetes
"Stoplight" tools assist patients with monitoring and managing their chronic condition by dividing various signs and symptoms into "green," "yellow," and "red" management zones.
A randomized trial to improve self-management practices of adults with asthma
Article describes a self-management program for adults with asthma which appears to enhance adherence and functional status.
Patient and family management of asthma: Theory-based techniques for the clinician
This paper explores health behavior constructs in asthma care for improving patient self-management.
How does patient education and self-management among asthmatics and patients with chronic obstructive pulmonary disease affect medication
This article describes a patient education program that had differential effects on adherence to steroid inhalers in adults with asthma and chronic obstructive pulmonary disease.
Asthma Action Plan ("Stoplight" Tool)
Care teams, including pediatricians, nurses, and others as necessary, work with patients to create an Asthma Action Plan that outlines regular steps to prevent and/or treat asthma attacks.
Limited (information only) patient education programs for adults with asthma
Article which describes a systematic review which shows limited benefit of information-only patient education programs.
Self-management education and regular practitioner review for adults with asthma
This article describes a systematic review of education programs that teach self-management skills which found beneficial effects on health outcomes in adults, especially when written action plans are used.
Interventions for educating children who have attended the emergency room for asthma
This article describes a systematic review which fails to find clear benefit from asthma education in the emergency department.