April 30, 2016
BALTIMORE — An ED quality improvement intervention, which included implementation of evidence-based guidelines, helped to reduce hospitalization rates among children who presented with anaphylaxis by 33%, according to recent research presented at the Pediatric Academic Societies Meeting.
“Our quality improvement initiative had as its primary aim to reduce admissions of patients with anaphylaxis by 25% after our 2011 introduction of an Evidence-Based Guideline of Emergency Department management of anaphylaxis,” Karen S. Farbman, MD, MPH, of the division of emergency medicine at Boston Children’s Hospital, told Infectious Diseases in Children. “We sought to monitor all low-risk patients in the ED for at least 4 hours prior to discharge and then to discharge patients home. We also sought to teach all patients the use of an epinephrine auto-injector prior to discharge.”