ArticlePediatric quality & safety
Improving Asthma Guideline Implementation in Hospital Medicine (ImAGINE): A Single-site Improvement Initiative.
Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Real-world feasibility of adapted European Respiratory Society asthma diagnosis guidelines for school-aged children.ERJ open research · 2026Article
- Characteristics of Adult Severe Uncontrolled Asthma Patients in Primary Care and Modifications in Prescribed Inhalation Treatments.Journal of asthma and allergy · 2026Article
- Improving Single Maintenance and Reliever Therapy for Patients Admitted for Asthma Exacerbation.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: The 2019 Global Initiative for Asthma (GINA) report called for changes in the approach to children with asthma. It focused on reducing morbidity and mortality and improving symptom control. This study aimed to increase the percentage of patients 6-18 years of age admitted for asthma exacerbations who received GINA guideline-concordant controller regimens from 39% to 50% within 6 months. Methods: Using the Model for Improvement framework, we garnered insight from pertinent stakeholders to identify key drivers. Key drivers identified included knowledge of guidelines, appropriate screening for symptom control, access to appropriate medications, and family and staff buy-in. Interventions initially focused on education around the GINA report. Subsequently, they implemented audit and feedback for prescribers, changes to standardized documentation (ie, asthma action plans and discharge instructions) in the electronic health record, and improved access to decision-support tools for prescribers through QR codes. An electronic health record query identified patients, and a control chart tracked study data weekly to determine the impact of interventions over time. Results: The average baseline concordance rate before interventions was 39%, with marked variability. A shift in the centerline occurred the month after the interventions began, with a final median centerline at 71%. Conclusions: This quality improvement study used a multifaceted approach to increase the number of patients discharged on a home maintenance regimen concordant with the most recent GINA report.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.