Multi-condition care pathways boost guideline adherence in general hospitals

A cluster-randomized trial across 43 US general hospitals tested a combined inpatient pathway intervention for asthma, pneumonia, and bronchiolitis, using audit and feedback, electronic order sets, improvement cycles, and mentoring. Among 11,760 admissions, the intervention was associated with a 9.9 percentage point increase in composite adherence to evidence-based practices and a lower odds of intensive care transfer (adjusted OR 0.69), though no significant effect was seen on length of stay or 30-day readmission/revisit, the trial reported.

Most relevant for: Pediatric inpatient care for children hospitalized with asthma, pneumonia, or bronchiolitis in general (non-freestanding children's) hospitals.

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