Publications by authors named "Kylynn Bruner"
Evaluate the impact of multi-component quality improvement for pediatric asthma care focusing on serial use of an evidence-based clinical pathway via paper order sets, pathway integration into computerized provider order entry (CPOE), use of a clinical respiratory score (CRS) and a discharge checklist. Outcomes were assessed over three intervention periods and 50 months on: time to beta-agonist and steroid first administration, frequency of readmissions and hospital length of stay. A general linear model estimated mean log(LOS) over time and between study periods.
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- Monthly reports tracking CPOE usage by physicians can encourage adoption by highlighting their contributions to patient safety and quality improvement, especially among those affected by performance-based financial incentives.
- Misattributions of order sources can undermine physician confidence and motivation to use CPOE effectively, which could have implications for patient safety and legal matters.
- In a study of one hospitalist group, 4.18% of orders were incorrectly attributed, primarily from nursing (42%) and pharmacy (38%), indicating the need for improved order management protocols to maintain accurate CPOE reporting.