This study was aimed at improving inpatient asthma care in the pediatric population through the implementation of visual evidence-based guidelines, called pathways, in diverse hospital settings.

Pediatric patients (ages 2–17) hospitalized with a primary diagnosis of asthma in diverse hospital settings across the United States.

From January 2018 through March 2019, clinicians from >250 hospitals that varied in size, location (urban versus rural), ownership (private versus nonprofit), and type (community versus children’s) were recruited to participate in the study. Clinicians were identified through the Value in Inpatient Pediatrics electronic mailing list. Participating hospitals were given evidence-based pathways and order sets as well as various support services for pathway implementation (educational seminars, quality improvement training, and monthly video conferences). Data on hospital characteristics were collected through a survey of implementation leaders. Outcomes data were collected via chart review. The primary outcome was inpatient length of stay (LOS), and secondary outcomes included...

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