| Title |
How to improve prescription of inhaled salbutamol by providing standardised feedback on administration: a controlled intervention pilot study with follow-up
|
|---|---|
| Published in |
BMC Health Services Research, January 2015
|
| DOI | 10.1186/s12913-015-0702-x |
| Pubmed ID | |
| Authors |
Martina P Neininger, Almuth Kaune, Astrid Bertsche, Jessica Rink, Juliane Musiol, Roberto Frontini, Freerk Prenzel, Wieland Kiess, Thilo Bertsche |
| Abstract |
BackgroundThe effectiveness of inhaled salbutamol in routine care depends particularly on prescribed dosage and applied inhalation technique. To achieve maximum effectiveness and to prevent drug-related problems, prescription and administration need to work in concert.MethodsWe performed a controlled intervention pilot study with 4 consecutive groups in a general paediatric unit and assessed problems in salbutamol prescribing and administration. Control group [i]: Routine care without additional support. First intervention group [ii]: We carried out a teaching session for nurses aimed at preventing problems in inhalation technique. Independently from this, a pharmacist counselled physicians on problems in salbutamol prescribing. Second intervention group [iii]: Additionally to the first intervention, physicians received standardised feedback on the inhalation technique. Follow-up group [iv]: Subsequently, without any delay after the second intervention group had been completed, sustainability of the measures was assessed. We performed the chi-square test to calculate the level of significance with p¿¿¿0.05 to indicate a statistically significant difference for the primary outcome. As we performed multiple testing, an adjusted p¿¿¿0.01 according to Bonferroni correction was considered as significant.ResultsWe included a total of 225 patients. By counselling the physicians, we reduced the number of patients with problems from 55% to 43% (control [i] vs. first intervention [ii], n.s.). With additional feedback to physicians, this number was further reduced to 25% ([i] vs. [iii], p¿<¿0.001). In the follow-up [iv], the number rose again to 48% (p¿<¿0.01 compared to feedback group).ConclusionsTeaching nurses, counselling physicians, and providing feedback on the quality of inhalation technique effectively reduced problems in salbutamol treatment. However, for success to be sustained, continuous support needs to be provided.Trial registrationGerman Clinical Trials register: DRKS00006792. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 52 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 2 | 4% |
| Unknown | 50 | 96% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 7 | 13% |
| Student > Bachelor | 6 | 12% |
| Researcher | 6 | 12% |
| Student > Ph. D. Student | 6 | 12% |
| Student > Doctoral Student | 3 | 6% |
| Other | 9 | 17% |
| Unknown | 15 | 29% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 10 | 19% |
| Medicine and Dentistry | 8 | 15% |
| Pharmacology, Toxicology and Pharmaceutical Science | 6 | 12% |
| Social Sciences | 4 | 8% |
| Psychology | 2 | 4% |
| Other | 7 | 13% |
| Unknown | 15 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 May 2016.
All research outputs
#15,552,066
of 24,648,202 outputs
Outputs from BMC Health Services Research
#5,567
of 8,339 outputs
Outputs of similar age
#198,764
of 362,951 outputs
Outputs of similar age from BMC Health Services Research
#48
of 82 outputs
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