RTMatters – Episode 004 | De-Implementing Low-value Respiratory Care

In this episode of RTMatters, we’re joined by Kellianne Fleming, Director of Pulmonary Services at Froedtert & Medical College of Wisconsin and Interim Executive Director of Froedtert Bluemound Rehabilitation Hospital. Kellianne, also the lead author of the influential article "Optimizing Respiratory Therapy Resources by De-Implementing Low-Value Care" from the May 2023 edition of RESPIRATORY CARE, discusses her team’s journey to eliminate a non-evidence-based respiratory care procedure.

Kellianne walks us through the process of addressing a problematic physician order set, the challenges of insufficient staffing, and the negative impacts on patient safety. She dives into the concept of confirmation bias and how it can hinder innovation in healthcare, while also explaining how peer-reviewed data was used to demonstrate the lack of efficacy for aerosolized medications in treating secretion retention.

Learn how Froedtert tackled this issue hospital-wide through a quality improvement initiative, the importance of having an engaged medical director, and the positive outcomes for both RT staff and patients. This episode also explores how this success serves as a model for evaluating and improving other low-value respiratory care procedures.

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