title: Updating asthma management: the process of change.
abstract: A strategic approach to changing clinical practice that is managed by a multidisciplinary team is an effective way of implementing new treatment methods or approaches to patient care. The Royal Children's Hospital, Melbourne, Australia, a tertiary pediatric hospital, instituted new Asthma Delivery Device Guidelines in recognition of current evidence that described the benefits of treating acute pediatric asthma with pressurized metered dose inhalers and spacer devices. The working group that coordinated the project attributes the successful change in practice to a multifaceted, multidisciplinary approach, a significant planning stage, initial and ongoing intensive staff and patient/parent education, and accessibility of information.
authors.affiliation: Royal Children's Hospital, Flemington Rd., Parkville, Victoria, Australia 3052.
authors.forename: G
authors.initials: G
authors.lastname: Maskell
authors.forename: C V
authors.initials: CV
authors.lastname: Powell
authors.forename: M K
authors.initials: MK
authors.lastname: Marks
authors.forename: M
authors.initials: M
authors.lastname: South
authors.forename: C F
authors.initials: CF
authors.lastname: Robertson
mesh_terms: D001249:Asthma / Q000188:drug therapy*; D001993:Bronchodilator Agents / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D004059:Diffusion of Innovation; D004636:Emergency Service, Hospital / Q000592:standards*; D005260:Female; D006776:Hospitals, Pediatric / Q000592:standards; D006801:Humans; D007223:Infant; D008297:Male; D009330:Nebulizers and Vaporizers; D010348:Patient Care Team; D017410:Practice Guidelines as Topic; D014739:Victoria
chemical_list: D001993:Bronchodilator Agents