Improving Pediatric Asthma Care Through Second-Hand Smoke Exposure Assessment
Data from GP practices in Wales indicate a low rate of discussing second-hand smoke exposure with pediatric asthma patients. This Quality Improvement (QI) project aims to ensure systematic identification and advice provision for patients exposed to second-hand smoke during asthma reviews. The proposal involves reviewing 100 out of 400 pediatric asthma patients by July 2021 to update their records. The project emphasizes asking about smoke exposure, offering Very Brief Advice (VBA), and coding these interactions for each patient, thereby enhancing asthma care quality.
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QI Project C h e c k i n g S e c o n d H a n d S m o ke E x p o s u re f o r P a e d i a t r i c A s t h m a p a t i e n t s [ y o u r n a m e ]
Quality Improvement with ICST Allowing you to achieve incremental and measurable changes to make a real difference to patients
WHAT IS THE PROBLEM? Data collected from GP practices across Wales suggest that less than 1% patients on the paediatric asthma registers have been asked about their exposure to second hand smoke and their parent s offered Very Brief Advice. This QI project will ensure that these conversations are happening during every Paediatric Asthma Review, and these conversations are being coded.
The QI project Ask patients about second-hand smoke exposure and offer Very Brief Advice Step 1 Update the Asthma Review templates Update the templates that inform a Paediatric Asthma Annual Review, ensuring that the following actions are made for every patient: The patient is asked about their exposure to second hand smoke If the parent/ carer of a child with asthma smokes, that caregiver is offered some very brief advice (VBA) Step 2 During the Asthma Review For every paediatric asthma patient who attends a review of their asthma, ask whether they are being exposed to second hand smoke and code accordingly. Step 3 Offer Very Brief Advice (VBA) If the child is being exposed to second hand smoke or are at risk of exposure, the caregiver should be offered some very brief advice and/or referred for smoking cessation, and this should also be coded.
I propose As a practice, we have 400 paediatric patients with Asthma on our register. I propose we review 100 of these patients and update their records on second hand smoke exposure before July 2021. Each patient review will take 15 minutes.
ANY QUESTIONS? C h e c k i n g S e c o n d H a n d S m o ke E x p o s u re f o r P a e d i a t r i c A s t h m a p a t i e n t s [ y o u r n a m e ]
