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Full-Text Articles in Social and Behavioral Sciences
Eliminating Monitor Overuse (Emo) Type Iii Effectiveness-Deimplementation Cluster-Randomized Trial: Statistical Analysis Plan, Rui Xiao, Christopher P. Bonafide, Nathaniel J. Williams, Zuleyha Cidav, Christopher P. Landrigan, Jennifer Faerber, Spandana Makeneni, Courtney Benjamin Wolk, Amanda C. Schondelmeyer, Patrick W. Brady, Rinad S. Beidas, Enrique F. Schisterman
Eliminating Monitor Overuse (Emo) Type Iii Effectiveness-Deimplementation Cluster-Randomized Trial: Statistical Analysis Plan, Rui Xiao, Christopher P. Bonafide, Nathaniel J. Williams, Zuleyha Cidav, Christopher P. Landrigan, Jennifer Faerber, Spandana Makeneni, Courtney Benjamin Wolk, Amanda C. Schondelmeyer, Patrick W. Brady, Rinad S. Beidas, Enrique F. Schisterman
Social Work Faculty Publications and Presentations
Background: Deimplementing overused health interventions is essential to maximizing quality and value while minimizing harm, waste, and inefficiencies. Three national guidelines discourage continuous pulse oximetry (SpO2) monitoring in children who are not receiving supplemental oxygen, but the guideline-discordant practice remains prevalent, making it a prime target for deimplementation. This paper details the statistical analysis plan for the Eliminating Monitor Overuse (EMO) SpO2 trial, which compares the effect of two competing deimplementation strategies (unlearning only vs. unlearning plus substitution) on the sustainment of deimplementation of SpO2 monitoring in children with bronchiolitis who are in room air.
Methods: …
Sustainable Deimplementation Of Continuous Pulse Oximetry Monitoring In Children Hospitalized With Bronchiolitis: Study Protocol For The Eliminating Monitor Overuse (Emo) Type Iii Effectiveness-Deimplementation Cluster-Randomized Trial, Nathaniel J. Williams
Social Work Faculty Publications and Presentations
Background: Methods of sustaining the deimplementation of overused medical practices (i.e., practices not supported by evidence) are understudied. In pediatric hospital medicine, continuous pulse oximetry monitoring of children with the common viral respiratory illness bronchiolitis is recommended only under specific circumstances. Three national guidelines discourage its use for children who are not receiving supplemental oxygen, but guideline-discordant practice (i.e., overuse) remains prevalent. A 6-hospital pilot of educational outreach with audit and feedback resulted in immediate reductions in overuse; however, the best strategies to optimize sustainment of deimplementation success are unknown.
Methods: The Eliminating Monitor Overuse (EMO) trial will compare two …