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Plenary sessions

P1. IMPLEMENTATION OF A GUIDELINE FOR CHILDREN PRESENTING WITH ACUTE BREATHING DIFFICULTY: A BEFORE AND AFTER STUDY
M. Lakhanpaul¹, T.J. Stephenson¹, R. MacFaul², U. Werneke³, P. Hemingway¹.

¹Child Health, University of Nottingham; ²Pinderfields General Hospital; ³Maudsley Hospital, London

Introduction: Health professionals often spend a great deal of time developing new guidelines but little attention is given to the process of implementation.

Aim: To evaluate the implementation of an evidence-based guideline on the management of the child presenting with an acute breathing difficulty.

Method: An evidence based guideline was developed and a variety of strategies were employed to help implement the guideline such as small teaching sessions, workshops and dissemination of written material. In addition, the resulting guideline was implemented as an algorithm in the emergency department. Data on investigation, treatment, and cost of care were collected during four month periods before and after implementation.

Results: Data was analysed on 979 children before and 442 children after the implementation. There was a significant . . . [Full text of this article]