socialmedian: Effect of educational and policy interventions on institutional utilization of wet nebulization respiratory drugs and portable inhalers.

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Effect of educational and policy interventions on institutional utilization of wet nebulization respiratory drugs and portable inhalers.

Source: MedWorm: Asthma

Oct 09, 2008

Summary

Effect of educational and policy interventions on institutional utilization of wet nebulization respiratory drugs and portable inhalers.

Can J Clin Pharmacol. 2008;15(2):e334-43

Authors: Lowe DO, Lummis H, Zhang Y, Sketris IS

BACKGROUND: Asthma and chronic obstructive pulmonary disease treatment guidelines support the preferential use of portable inhalers (PIs) over wet nebulization (WN) respiratory therapy. Hospital- and community-based educational initiatives and a community-based provincial drug program policy change were previously implemented to promote the conversion of WN therapy to PI and spacer device use in Nova Scotia. OBJECTIVE: To examine the effect of these interventions on salbutamol, ipratropium bromide, and spacer device (Aerochamber) use at the Queen Elizabeth II Health Sciences Centre (QEII HSC). METHODS: We conducted a time-series analysis of drug utilization data from August 1998 to July 2005. We used two intervention phases compared to the pre-intervention phase to determine whether the educa

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