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Clinical Audit: Optimising Asthma Control

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This education is accredited: RACGP 40 CPD, ACRRM 30 CME PD.

Audit Aim

This clinical audit aims to support a quality consultation that optimises control of asthma in a patient currently managed on a preventer medication.

Inclusion Criteria

  1. Patients over 12 years old with a diagnosis of asthma
    AND
  2. Using preventer medication (Inhaled Corticosteroids or ICS) alone or in combination with a long acting beta agonist (LABA).

Steps to Proceed

What the GP needs to do

  • Log in or register on this page
  • Use the 'Click here to proceed' button to get started.

 

1. Pre-Test

  • Read the background information on the audit's underlying evidence and best practice statements and answer some questions.
  • It would be a good idea to complete this 10 minute activity before your first audit patient.

2. Identify 10 patients:

Tips to identify 10 patients

1. Consider a patient being consulted for asthma

2. Perform a search on your practice software using the following search criteria: (Please consult your practice software help or support function if required)

  • Diagnosis: Asthma
    and
  • Age: Over 12 years old
    and
  • Medications: Inhaled Corticosteroids (ICS) alone or in combination with a long acting beta agonist (LABA)

3. Recall these patients for a consultation - click here to download a recall letter that can be mail merged using your practice software or handed out by your practice nurse.

3. Assess for each patient:

  • Review of current medications
  • Optimising care in asthma
    • Assess asthma control
    • Severity of symptoms
  • Asthma management plan
    • Medication change
    • Patient education
    • Follow-up

Enter this information in the patient data entry section of the audit.

4. Action

  • Discuss a management plan with the patient based on current evidence and considered best practice

Recommendations will be based on assessment from part 3 (above):

  • Symptoms
  • Tolerance factors in medication use
  • Inhaler device and technique
  • Impact on quality of life
  • Asthma guideline

Specifically based on assessment and a stepped approach to medication change in adults with asthma:

  • Either add or switch medication.

Add - LABA to ICS for flare-up prevention and symptom control
Switch - to other fixed-dose combination treatment for comparable efficacy and improved tolerability

5. Data review and evaluation

  • Once you have entered data for 10 patients, review your results and evaluate the audit recommendations.

6. CPD points

  • Completion of this activity will award you 40 RACGP QI&CPD points, or 30 ACRRM PDP points.
  • If a nurse assisted you in completing the clinical audit and wants to claim CPD points download a certificate here.

 

This program is supported by Mundipharma Pty Limited.

Content partners: 
Components
Optimising Asthma Control Clinical Audit - Pre-test
Optimising Asthma Control Clinical Audit - Patient entry
Optimising Asthma Control Clinical Audit - Results and Evaluation