Division of Adolescent Medicine, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA.
Division of Academic General Pediatrics, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, USA.
Biomed Res Int. 2018 Mar 29;2018:5472876. doi: 10.1155/2018/5472876. eCollection 2018.
Clinical pathways for asthma management decrease hospital cost and length of stay; however little is known about the educational impact of pathways on residents. Pediatric residents at a children's hospital ( = 114) were invited to complete a 22-item computerized, anonymous survey 6 months before and 6 months after asthma pathway implementation. The survey assessed pathway use and residents (1) pathway knowledge, (2) attitudes and experiences with managing asthma, and (3) perceived educational benefits. Mean pathway knowledge score increased from the case before to the case after implementation [1.5 ± 1.0 versus 2.6 ± 1.3, < 0.001], as did high preparedness to manage asthma [61% versus 91%, < 0.001] and electronic order set use [28% versus 80%, < 0.001]. The top three educational benefits of the pathway endorsed by residents were application of evidence-based medicine (57%), ability to assess exacerbations (52%), and skill at communicating respiratory status (47%). After implementation, residents' knowledge and preparedness to manage asthma improved as well as many endorsed educational benefits.
哮喘管理的临床路径可降低医院成本和住院时间；然而，关于路径对住院医师的教育影响知之甚少。一家儿童医院的儿科住院医师（n = 114）被邀请在哮喘路径实施前 6 个月和后 6 个月完成一份 22 项的计算机化、匿名调查。该调查评估了路径的使用情况以及住院医师（1）对管理哮喘的路径知识、（2）态度和经验，以及（3）对教育益处的看法。实施前和实施后的平均路径知识得分均有所提高[1.5 ± 1.0 分比 2.6 ± 1.3 分，< 0.001]，管理哮喘的高度准备程度[61%比 91%，< 0.001]和电子医嘱集的使用[28%比 80%，< 0.001]也是如此。住院医师认可的路径的前三大教育益处为应用循证医学（57%）、评估恶化的能力（52%）和沟通呼吸状况的技能（47%）。实施后，住院医师管理哮喘的知识和准备程度都有所提高，许多人也认可了教育益处。
