Home monitoring of lung function using simple, inexpensive tools to measure peak expiratory flow rate (PEFR) has been possible since the 1970s.
Yet although current national and international guidelines recommend monitoring of PEFRs via traditional run charts, their use by both patients and physicians remains low.
The role of statistical process control (SPC) theory and charts in the serial monitoring of lung function at home were explored and applied to the direct care of patients with asthma.
The method represents an integration of collective professional and improvement knowledge with the related disciplines of continual improvement, SPC, system thinking/system dynamics, paradigms, and the learning community/organization.
Case studies : Use of PEFR control charts for four patients cared for at the Asthma-Allergy Clinic and Research Center (Shreveport, La) is described.
The key to good asthma control is the ability to optimize lung function by reducing the variation between serial lung function measurements and thereby generate a safe range of function.
Knowledge of the type of variation (special cause or common cause) in the system helps in focusing clinical decision making.
Case 4, and 11-year-old boy, for example, shows how control charts were used to learn the effects of a new inhaled corticosteroid. (...)
Mots-clés Pascal : Asthme, Maladie, Ambulatoire, Soin, Contrôle, Médecin, Pratique professionnelle, Enfant, Age, Population, Démographie, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Classe âge
Mots-clés Pascal anglais : Asthma, Disease, Ambulatory, Care, Check, Physician, Professional practice, Child, Age, Population, Demography, Respiratory disease, Obstructive pulmonary disease, Age distribution
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 06/10/1999.