Evidence · Randomised trial
Effectiveness of Targeted Interventions on Treatment of Infants With Bronchiolitis: A Randomized Clinical Trial.
- Bronchiolitis
- Education and simulation
- Medical
- Nursing
- Professional practice
- Respiratory
Summary
A cluster randomised trial across 26 Australian and New Zealand hospitals testing targeted, theory-based implementation interventions versus passive guideline dissemination to reduce low-value care in infants with bronchiolitis. Interventions included site clinical leads, stakeholder meetings, train-the-trainer workshops, educational materials and audit and feedback. The primary outcome was compliance in the first 24 hours with avoiding chest radiography, bronchodilators, glucocorticoids, antibiotics and adrenaline. Compliance was higher in intervention hospitals, supporting active deimplementation strategies for bronchiolitis management.
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- Open (Creative Commons)
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