Timely Data for Targeted Quality Improvement Interventions: Use of a Visual Analytics Dashboard for Bronchiolitis Article Swipe
Gabrielle Hester
,
T. Lang
,
Laura Madsen
,
Rabindra Tambyraja
,
Paul Zenker
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1055/s-0039-1679868
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1055/s-0039-1679868
Background Standard methods for obtaining data may delay quality improvement (QI) interventions including for bronchiolitis, a common cause of childhood hospitalization. Objective To describe the use of a dashboard in the context of a multifaceted QI intervention aimed at reducing the use of chest radiographs, bronchodilators, antibiotics, steroids, and viral testing in patients with bronchiolitis. Methods This QI initiative took place at Children's Minnesota, a large, not-for-profit children's health care organization. A multidisciplinary bronchiolitis workgroup developed a local clinical guideline and order-set. Delays in obtaining baseline data prompted a pediatric hospitalist and information technology specialist to modify a vendor's dashboard to display data related to bronchiolitis guideline metrics. Patients 2 months to 2 years old with a bronchiolitis emergency department (ED)/inpatient encounter in the period October 1, 2014 to April 30, 2018 were included. The primary outcome was a functioning dashboard; a process measure was the percentage of ED clinician logins. Outcome measures included the percent use of guideline metrics (e.g., bronchodilators) displayed on statistical process control charts (ED vs. inpatient). Balancing measures included length of stay, charge ratios, and hospital revisits. Results A workgroup (formed October 2015) implemented a bronchiolitis order-set and guideline (February 2016) followed by a bronchiolitis dashboard (August 2016) consolidating disparate data sources loaded within 2 to 4 days of discharge. In total, 35% of ED clinicians logged in. Leaders used the dashboard to target and track interventions such as a bronchodilator order alert. There were improvements in most outcome metrics; however, timing did not suggest direct dashboard impact. ED balancing measures were lower after implementation. Conclusion We described use of a dashboard to support a multifaceted QI initiative for bronchiolitis. Leaders used the dashboard for targeted interventions but the dashboard did not directly impact the observed improvements. Future studies should assess reasons for low individual dashboard use.
Related Topics
Concepts
Dashboard
Analytics
Computer science
Psychological intervention
Data science
Quality management
Quality (philosophy)
Visual analytics
Bronchiolitis
Data quality
Medicine
World Wide Web
Visualization
Data mining
Engineering
Operations management
Nursing
Virology
Metric (unit)
Epistemology
Virus
Management system
Philosophy
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1055/s-0039-1679868
- http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-1679868.pdf
- OA Status
- bronze
- Cited By
- 32
- References
- 51
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2920963113
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2920963113Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1055/s-0039-1679868Digital Object Identifier
- Title
-
Timely Data for Targeted Quality Improvement Interventions: Use of a Visual Analytics Dashboard for BronchiolitisWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
- Publication date
-
2019-01-01Full publication date if available
- Authors
-
Gabrielle Hester, T. Lang, Laura Madsen, Rabindra Tambyraja, Paul ZenkerList of authors in order
- Landing page
-
https://doi.org/10.1055/s-0039-1679868Publisher landing page
- PDF URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-1679868.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
- OA URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-1679868.pdfDirect OA link when available
- Concepts
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Dashboard, Analytics, Computer science, Psychological intervention, Data science, Quality management, Quality (philosophy), Visual analytics, Bronchiolitis, Data quality, Medicine, World Wide Web, Visualization, Data mining, Engineering, Operations management, Nursing, Virology, Metric (unit), Epistemology, Virus, Management system, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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32Total citation count in OpenAlex
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2025: 4, 2024: 6, 2023: 4, 2022: 6, 2021: 6Per-year citation counts (last 5 years)
- References (count)
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51Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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