Project Information

Steroid administration upon admission for pediatric asthma patients

Project Description: Asthma is one of the most common illnesses in childhood affecting up to 8.4% of American children (CDC) with the incidence rising. Patients access the emergency department most often when they are in an acute exacerbation of their asthma. National and international guidelines have been published that provides a treatment algorithm for most patients. One component of that treatment algorithm is the prompt administration of systemic corticosteroids to decrease airway inflammation in moderate to severe exacerbations. At the University of Florida (UF) Health Shands Children’s Hospital, the Pediatric Asthma Center of Excellence (PACE) is a multidisciplinary team devoted to improving asthma care. The team consists of pulmonologists, allergists, respiratory therapists, hospitalists, pediatric intensivists, nurse practitioners, nurse leaders, emergency physicians, clinical pharmacists, a pharmacogenetecist, certified asthma educators and social workers. One of several metrics that is evaluated monthly is the percentage of admissions to the emergency department who receive a steroid within 30 minutes. Historically, based on EPIC reports, this number fluctuates between 30-40%. This number is believed to be higher since this EPIC report only tracks doses administered at our hospital (versus an outside hospital or EMS). This retrospective chart review will review asthma admissions to the pediatric emergency department to assess the true rate of this metric. The purpose of this evaluation is to identify areas for improvement in the medication use process

QPI: Christopher, Campbell, (



UF Health Big Aims: Reduce Variation None

MeSH Keywords: Asthma, Dexamethasone, Glucocorticoids, Methylprednisolone, Status Asthmaticus