Project Information

Holding the Gain- Sustaining a Successful Triage Asthma Protocol

Project Description: Asthma is the most common chronic condition among American children with a prevalence of 8.8% nationally and 9.9% in the state of Florida. $50.1 billion is spent annually towards the direct treatment of asthma, and asthma is a leading cause of school absenteeism with an estimated 13.8 million school days lost annually. Exacerbations of asthma are the number one reason for emergency department (ED) presentation and a leading cause of inpatient admissions nationally accounting for roughly 640,000 ED visits in the 0-15 year-old cohort and 136,669 inpatient admissions in the 0-17 year-old cohort. The ED at Johns Hopkins All Children's Hospital recently implemented new asthma protocols to address the needs of our population and to bring our practice in line with the recommendations. Initial auditing showed the protocol was being used and was effective, but it is unknown if the gains made after the initial implementation and audit have been sustained.

QPI: Matthew, Higgins, (


Advisors: Teresa, Bruney, (; Michael, Bumbach, (

UF Health Big Aims: Reduce Variation None

MeSH Keywords: Pediatric Emergency Medicine, Standing Orders, Asthma, Efficiency, Triage