This study's objective is to identify and test pragmatic and sustainable strategies for implementing a multi-condition clinical pathway intervention for children hospitalized with asthma, pneumonia, or bronchiolitis in community hospitals. The hypothesis is that the multi-condition pathway intervention will be associated with significantly greater increases in clinicians' adoption of evidence-based practices compared to control. The study is a pragmatic, cluster-randomized trial in US community hospitals. The primary outcome will be adoption of evidence-based practices over a sustained period of 2 years. Secondary outcomes include length of hospital stay, intensive care unit transfer, and hospital readmission/emergency department revisit.
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Pneumonia Evidence Based Practice 1
Timeframe: During a hospitalization, approximately 2 days
Pneumonia Evidence Based Practice 2
Timeframe: During a hospitalization, approximately 2 days
Asthma Evidence Based Practice 1
Timeframe: During a hospitalization, approximately 2 days
Asthma Evidence Based Practice 2
Timeframe: During a hospitalization, approximately 2 days
Asthma Evidence Based Practice 3
Timeframe: During a hospitalization, approximately 2 days
Bronchiolitis Evidence Based Practice 1
Timeframe: During a hospitalization, approximately 2 days
Bronchiolitis Evidence Based Practice 2
Timeframe: During a hospitalization, approximately 2 days