1. Management of gastroenteritis over 10 years: changing culture and maintaining the change
- Author
-
Colin Powell, H. R. Jenkins, Joanne Fox, and Sally Richards
- Subjects
medicine.medical_specialty ,Pediatrics ,Audit ,Age Distribution ,medicine ,Humans ,Hydration status ,Medical Audit ,Wales ,business.industry ,Public health ,Infant, Newborn ,Outcome measures ,Infant ,Professional Practice ,Guideline ,Length of Stay ,Acute gastroenteritis ,Hospitals, Pediatric ,Organizational Culture ,Gastroenteritis ,Hospitalization ,Clinical Practice ,El Niño ,Child, Preschool ,Acute Disease ,Practice Guidelines as Topic ,Pediatrics, Perinatology and Child Health ,Fluid Therapy ,Guideline Adherence ,business - Abstract
Objective. To examine the impact of an implementation program on adherence to a guideline for the management of acute gastroenteritis. Design. Using four retrospective audits over a 10-year period, the authors examined the change in practice and maintenance of that change following a targeted implementation program for the clinical guideline. Setting. Tertiary children's hospital in South Wales. Participants. 447 children aged less than 5 years, admitted to hospital with acute gastroenteritis, comprising four cross-sectional samples (106 in 1999, 153 in 2002, 99 in 2004, 89 in 2009). Main outcome measures. Age of child, hydration status, method of rehydration and duration of admission, for each audit, with an implementation strategy delivered after the second audit. Results. In 1999 and 2002, intravenous rehydration was used in 20% and 15% of cases, respectively. After the implementation program in 2004, compared to 1999, there was a significant decrease in the intravenous rehydration rate to 4% in 2004 (p
- Published
- 2012