Standards of care for occupational asthma

Fishwick, David; Barber, Christopher M.; Bradshaw, Lisa; Harris-Roberts, Joanne; Francis, Mandy; Naylor, Steven; Ayres, Jon G.; Burge, P. S.; Corne, Jonathan; Cullinan, Paul; Frank, Timothy L; Hendrick, D. J.; Hoyle, Jennifer; Jaakkola, Maritta S.; Newman-Taylor, A. J.; Nicholson, Paul J; Niven, Robert; Pickering, A.; Rawbone, Roger; Stenton, Chris; Warburton, Chris; Curran, Andrew

doi:10.1136/thx.2007.083444

Cited by 81 publications

(52 citation statements)

References 55 publications

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“…19 This was hosted and marketed by BMJ Learning, with over 1000 healthcare professionals completing it within the first six months of the module going live. Almost all of the feedback that was left immediately after completing the module was positive, and completing it significantly improved participants' knowledge in this area.…”

Section: Discussionmentioning

confidence: 99%

“…17 The British Thoracic Society (BTS) has produced guidelines for asthma which contain a chapter relating to the diagnosis and management of occupational asthma, 18 and the BTS have also recently approved a national Standard of Care for this condition. 19 Although these guidelines have been designed to improve all aspects of the management of occupational asthma, their impact and utilisation in primary care has not previously been studied. The aim of this project therefore was to translate existing occupational asthma guidelines into an evidencebased, interactive e-learning module, which could be used both as an educational tool and to evaluate awareness and usage of clinical guidelines for the diagnosis and management of occupational asthma in primary care.…”

Section: T I O N P R O H I B I T E Dmentioning

confidence: 99%

“…A new e-learning module was developed, comprising key messages taken from the BOHRF occupational asthma guidelines 17 and the occupational asthma Standard of Care. 19 The e-learning module comprised a comprehensive interactive case history relating to the care of patients with occupational asthma. The cases were designed to mirror reallife clinical scenarios, and were developed with multidisciplinary input from the HSE and both primary and secondary care.…”

Section: Module Developmentmentioning

confidence: 99%

“…[4][5][6][7][8][9][10][11][12] It is clear therefore that adequate primary care training is vital to ensure that adult asthmatics with workrelated symptoms are identified as soon as possible in order to facilitate specialist diagnosis and management. 17,19 The problem of ensuring that occupational asthma guidelines are utilised in primary care is not unique to the UK, and has recently also been acknowledged by American and Canadian occupational respiratory disease specialists. This has led to their developing and publishing similar occupational asthma case studies, 34,35 again with the intent of improving evidence-based practice.…”

mentioning

confidence: 99%

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Knowledge and utilisation of occupational asthma guidelines in primary care

Barber

Frank

Walsh³

et al. 2010

Primary Care Respiratory Journal

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Aims: To develop an occupational asthma learning module, which could be used both as an educational tool and to evaluate awareness and usage of clinical guidelines in primary care.Methods: Healthcare professionals were invited to undertake an interactive BMJ Learning module, developed from existing national occupational asthma guidelines. Participants were invited to record immediate post-module feedback, and were also sent an e-mail questionnaire six weeks later to assess the impact of the module.Results: In total 1041 healthcare professionals completed the learning module within the first six months, which was associated with significant improvements in knowledge, and predominantly positive feedback. The e-mail follow-up questionnaire demonstrated improved usage and awareness of national occupational asthma guidelines.Conclusions: Significant barriers remain in ensuring that evidence-based occupational medicine guidelines are adopted in primary care. This project has demonstrated that e-learning offers one method of improving postgraduate medical education in this area, particularly where evidence-based guidelines have already been developed.

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Section: Discussionmentioning

confidence: 99%

Section: T I O N P R O H I B I T E Dmentioning

confidence: 99%

Section: Module Developmentmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Knowledge and utilisation of occupational asthma guidelines in primary care

Barber

Frank

Walsh³

et al. 2010

Primary Care Respiratory Journal

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show abstract

“…Serial peak expiratory flow measurements may help identify patterns of variability related to exposure to particular substances, which may be useful, particularly when occupational asthma is suspected. 64 If the diagnosis remains uncertain, referral for more detailed tests should be considered. Computed tomography may be helpful in the differential diagnosis for a small subgroup of specialized cases (eg, for the identification of bronchiectasis or interstitial lung disease and for patients with dyspnea but normal or minor changes in lung function).…”

mentioning

confidence: 99%