Sustainment of continuous pulse oximetry deimplementation: Analysis of Eliminating Monitor Overuse study data from six hospitals

for the Pediatric Research in Inpatient Settings (PRIS) Network

Research output: Contribution to journalArticlepeer-review

Abstract

Using continuous pulse oximetry (cSpO2) to monitor children with bronchiolitis who are not receiving supplemental oxygen is a form of medical overuse. In this longitudinal analysis from the Eliminating Monitor Overuse (EMO) study, we aimed to assess changes in cSpO2 overuse before, during, and after intensive cSpO2-deimplementation efforts in six hospitals. Monitoring data were collected during three phases: “P1” baseline, “P2” active deimplementation (all sites engaged in education and audit and feedback strategies), and “P3” sustainment (a new baseline measured after strategies were withdrawn). Two thousand and fifty-three observations were analyzed. We found that each hospital experienced reductions during active deimplementation (P2), with overall adjusted cSpO2 overuse decreasing from 53%, 95% confidence interval (CI): (49–57) to 22%, 95% CI: (19–25) between P1 and P2. However, following the withdrawal of deimplementation strategies, overuse rebounded in all six sites, with overall adjusted cSpO2 overuse increasing to 37%, 95% CI: (33–41) in P3.

Original languageEnglish (US)
Pages (from-to)724-729
Number of pages6
JournalJournal of Hospital Medicine
Volume18
Issue number8
DOIs
StatePublished - Aug 2023
Externally publishedYes

ASJC Scopus subject areas

  • Fundamentals and skills
  • Care Planning
  • Assessment and Diagnosis
  • Health Policy
  • Leadership and Management
  • Internal Medicine

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