Implementing Parental Tobacco Dependence Treatment Within Bronchiolitis QI Collaboratives

Pediatrics
Susan Chu WalleyShawn L Ralston

Abstract

We sought to implement systematic tobacco dependence interventions for parents and/or caregivers as secondary aims within 2 multisite quality improvement (QI) collaboratives for bronchiolitis. We hypothesized that iterative improvements in tobacco dependence intervention strategies would result in improvement in outcomes between collaboratives. This study involved 2 separate yearlong, multisite QI collaboratives that were focused on care provided to inpatients with a primary diagnosis of bronchiolitis. In each collaborative, we provided tools and training in tobacco dependence treatment and expert coaching on interventions for parents as a secondary aim. Data were collected by chart review and results analyzed by using analysis of means and statistical process control analysis. Outcomes between collaboratives were compared by using relative risks. Between both collaboratives, 56 hospitals participated and 6258 inpatient charts were reviewed. In the first collaborative, 22% of identified parents who smoke received tobacco dependence interventions at baseline. This rate increased to 51% during the postintervention period, with special cause revealed by analysis of means. In the second collaborative, 31% of parents who smoke recei...Continue Reading

Citations

Sep 10, 2020·Journal of General Internal Medicine·Karleen F GiannitrapaniKarl A Lorenz
Jan 3, 2021·Hospital Pediatrics·Rachel Boykan, Susan Walley
May 22, 2021·Hospital Pediatrics·Ashley AlexanderSusan C Walley

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