Use of a computerized respiratory care record system to study utilization of IPPB therapy.

Abstract:

:Increases in the utilization of respiratory therapy and the need to avoid its misuse have placed increasing management responsibilities on medical and technical supervisors of respiratory care services. To improve our managerial capabilities we designed a computerized respiratory care record system. Respiratory therapists use specially designed forms to record initial respiratory assessments and subsequent progress notes. A computer program allows secretaries to enter information from the forms into a data base. Another program tabulates information from the data base. As an example of the usefulness of this system we present a study of the utilization of intermittent positive-pressure breathing (IPPB) therapy in patients undergoing intrathoracic or upper abdominal surgery. Although all such patients were routinely educated preoperatively in the use of IPPB, chest physiotherapy, and incentive spirometry, the study revealed that only 14% of the patients received IPPB postoperatively, whereas more than 90% received chest physiotherapy and incentive spirometry. As a result of our findings we are saving time and money by discontinuing routine IPPB education for this population.

journal_name

Respir Care

journal_title

Respiratory care

authors

Chase CR,Merz BA,Shinozaki T,Greenwood SA,Deane RS

keywords:

subject

Has Abstract

pub_date

1983-03-01 00:00:00

pages

309-14

issue

3

eissn

0020-1324

issn

1943-3654

journal_volume

28

pub_type

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