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METHODS:

This project was aquality improvement collaborative consisting of monthly interactive webinars with online data collection and feedback. Data were collected by chart review for 2 bronchiolitis seasons, defined as January, February, and March of 2013 and 2014. Patients aged< 24 months hospitalized for bronchiolitis and without chronic illness, prematurity, or intensive care use were included. Results were analyzed using run charting, analysis of means, and nonparametric statistics.

RESULTS:

There were 21 participating hospitals contributing a total of 1869 chart reviews to the project, 995 preintervention and 874 postintervention. Mean use of any bronchodilator declined by 29%(P=. 03) and doses per patient decreased 45%(P<. 01). Mean use of any steroids declined by 68%(P<. 01), and doses per patient decreased 35%(P=. 04). Chest radiography use declined by 44%(P=. 05). Length of stay …