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LetterCorrespondence

Physician-Ordered Aerosol Therapy Versus Respiratory Therapist-Driven Aerosol Protocol: Effect on Resource UtilizationThe authors respond to: Physician-Ordered Aerosol Therapy Versus Respiratory Therapist-Driven Aerosol Protocol: Effect on Resource Utilization

Patricia Carroll, Avyakta Kallam and Ariel Modrykamien
Respiratory Care July 2013, 58 (7) e83; DOI: https://doi.org/10.4187/respcare.02502
Patricia Carroll
School of Health Sciences Excelsior College Milldale, Connecticut
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Avyakta Kallam
Department of Internal Medicine Creighton University Medical Center
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Ariel Modrykamien
ICU and Respiratory Care Services Pulmonary, Sleep, and Critical Care Medicine Division Creighton University School of Medicine Omaha, Nebraska
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To the Editor:

The article by Kallam and colleagues1 about the potential financial advantages of protocol-driven bronchodilator therapy provides an important perspective. However, there are no data about the validation of the scoring tool or the evidence supporting the correlation of the bronchodilator orders with the assessment score. While we await their report on their before-and-after project examining clinical outcomes, can they provide this missing information?

Footnotes

  • The author has disclosed no conflicts of interest.

  • Copyright © 2013 by Daedalus Enterprises

References

  1. 1.↵
    1. Kallam A,
    2. Meyerink K,
    3. Modrykamien AM
    . Physician-ordered aerosol therapy versus respiratory therapist-driven aerosol protocol: the effect on resource utilization. Respir Care 2013;58(3):431-437.
    OpenUrlAbstract/FREE Full Text

The authors respond to: Physician-Ordered Aerosol Therapy Versus Respiratory Therapist-Driven Aerosol Protocol: Effect on Resource Utilization

We appreciate Ms Carroll's question. The respiratory-therapist-driven bronchodilator protocol we described1 was based on one previously published.2 Importantly, we would like to clarify that the aim of our study was not the validation of a tool. We just described a phase of a quality improvement project, which eventually showed that systematization and homogeneity of a process (bronchodilator administration) can, hypothetically, save costs, when compared with a heterogeneous physician-driven strategy. We are currently in the process of analyzing the data from before and after implementation of this protocol. Our results should be available soon.

Footnotes

  • The authors have disclosed no conflicts of interest.

References

  1. 1.↵
    1. Kallam A,
    2. Meyerink K,
    3. Modrykamien AM
    . Physician-ordered aerosol therapy versus respiratory therapist-driven aerosol protocol: the effect on resource utilization. Respir Care 2013;58(3):431-437.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Stoller JK,
    2. Mascha EJ,
    3. Kester L,
    4. Haney D
    . Randomized controlled trial of physician-directed versus respiratory therapy consult service-directed respiratory care to adult non-ICU inpatients. Am J Respir Crit Care Med 1998;158(4):1068-1075.
    OpenUrlPubMed
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Respiratory Care: 58 (7)
Respiratory Care
Vol. 58, Issue 7
1 Jul 2013
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Physician-Ordered Aerosol Therapy Versus Respiratory Therapist-Driven Aerosol Protocol: Effect on Resource UtilizationThe authors respond to: Physician-Ordered Aerosol Therapy Versus Respiratory Therapist-Driven Aerosol Protocol: Effect on Resource Utilization
Patricia Carroll, Avyakta Kallam, Ariel Modrykamien
Respiratory Care Jul 2013, 58 (7) e83; DOI: 10.4187/respcare.02502

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Physician-Ordered Aerosol Therapy Versus Respiratory Therapist-Driven Aerosol Protocol: Effect on Resource UtilizationThe authors respond to: Physician-Ordered Aerosol Therapy Versus Respiratory Therapist-Driven Aerosol Protocol: Effect on Resource Utilization
Patricia Carroll, Avyakta Kallam, Ariel Modrykamien
Respiratory Care Jul 2013, 58 (7) e83; DOI: 10.4187/respcare.02502
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