Evaluation of an Educational Outreach and Audit and Feedback Program to Reduce Continuous Pulse Oximetry Use in Hospitalized Infants With Stable Bronchiolitis

Abstract

Key Points Question Are audit and feedback strategies and educational outreach associated with clinician perceptions of the feasibility, acceptability, appropriateness, and safety of continuous pulse oximetry use in children hospitalized with bronchiolitis who are not receiving supplemental oxygen (guideline-discordant use)? Findings In this 6-hospital single-group nonrandomized clinical trial, 847 nurses and physicians highly rated the feasibility, acceptability, and appropriateness of audit and feedback strategies and educational outreach. Guideline-discordant pulse oximetry use decreased from 53% to 23% during the intervention period. Meaning Educational outreach and audit and feedback strategies were feasible, acceptable, appropriate, and associated with a reduction in guideline-discordant continuous pulse oximetry use in children hospitalized with bronchiolitis who are not receiving supplemental oxygen.