LAUSR

Background and objective : Although evidence-based guidelines for acute bronchiolitis (AB) recommend primarily supportive care unnecessary treatments remain well documented. The objective of this study was to analyze a quality improvement (QI) initiative to reduce overuse of unnecessary treatments in infants with acute bronchiolitis in primary care (PC) settings. Methods : To determine the number of unnecessary treatments we reviewed the charts corresponding to infants aged Results : Thirty pediatricians in twenty outpatient clinics contributed with 1227 chart reviews (619 in the pre-intervention period and 658 in the post-intervention period). Globally the use of any medication decreased by 20.4% (p Conclusions : We safely decreased the use of unnecessary treatments in infants with acute bronchiolitis. Although usage rates are now lower, performance gaps between average and top sites reveal that continued improvement is still possible. Collaboration between PC units and ED appears as an important context factor for successful improvement.