Education, Teaching, and Quality Improvement |

A Quality Improvement Initiative Designed to Improve Pediatric Residents' Knowledge of Asthma Medication Delivery FREE TO VIEW

Aneela Bidiwala; Giselle Barraza; Angela Webb; Claudia Fernandez; Christina Valsamis; Melodi Pirzada; Melissa Fazzari; Claudia Halaby
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Winthrop University Hospital, Mineola, NY

Chest. 2014;146(4_MeetingAbstracts):533A. doi:10.1378/chest.1994717
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SESSION TITLE: Quality & Clinical Improvement Posters II

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM

PURPOSE: Introduction: Asthma is one of the most common chronic diseases in children. The successful management of asthma in children relies on the correct use of inhaled preventive medications, which ultimately depends on how well the patients are instructed to use it. Children admitted in the hospital with asthma exacerbations frequently come in contact with resident physicians who may not be knowledgeable in how to administer and instruct the use of these medications. Purpose: To assess the impact of a workshop designed to improve the knowledge of asthma inhaled medication delivery among pediatric residents and medical students.

METHODS: Study Design: A one hour workshop was designed to include a short presentation that reviewed the proper technique of asthma medication administration. Afterwards, each participant had the opportunity for hands on experience with different inhaled devices. Participants were medical students and pediatric residents. Prior to and following the workshop participants were asked to complete a survey designed to assess their knowledge of correct medication administration. Similar workshops were done yearly for four consecutive years. Statistical Analysis: Pre and post intervention survey scores were compared and change in test score (post from pre) for each year was calculated (statistical significance was calculated using Wilcoxon signed rank test). For each year, a comparison between the change in score (post-pre) was conducted using Kruskal-Walis test, to assess for group differences.

RESULTS: Following the workshop, there was a statistically significant improvement in post - intervention survey scores (over all p < 0.001) in all 117 participants from all academic levels. There were no statistically significant differences seen in the impact of the workshop between the four calendar years.

CONCLUSIONS: Our intervention resulted in significant improvement in asthma medication administration knowledge among medical students and pediatric residents.

CLINICAL IMPLICATIONS: These results emphasize the need of implementing formal training in pediatric residency program addressing this aspect of education. This will positively impact their future patient care, as successuful managment of asthma relies on correct use of inhaled preventive medications.

DISCLOSURE: The following authors have nothing to disclose: Aneela Bidiwala, Giselle Barraza, Angela Webb, Claudia Fernandez, Christina Valsamis, Melodi Pirzada, Melissa Fazzari, Claudia Halaby

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