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April 11, 2026

Improving the Provision of Personalised Asthma Action Plans in the Paediatric Emergency Department

PKPaula Sofia Koscielny MGMehak Gupta VEVarunika Elangovan

Key Points

The aim is to standardise the provision of Personalised Asthma Action Plans in the pediatric emergency department.
Reviewed baseline data from September to mid-October 2024.
Plotted weekly data on a run chart to assess PAAP distribution.
Implemented two intervention cycles targeting doctors and patients/families.
Used reminders at workstations and e-posters in the waiting area.
Baseline data showed PAAP distribution was inconsistent, averaging 33.3%.
First intervention showed limited improvement in PAAP distribution.
Second intervention led to significant success, achieving 100% PAAP provision.

Abstract

Background: Personalised Asthma Action Plans (PAAPs) are essential for asthma management, reducing severe attacks and hospital admissions. NICE guidelines mandate PAAP provision for asthma patients, as do Lewisham however, the second intervention displayed a marked increase, reaching a peak of 100%. Discussion: Our first intervention had a limited impact, suggesting that clinician awareness alone was insufficient to drive behavioural change. The second intervention was associated with significant improvement, highlighting that patient-driven recognition of PAAPs plays a key role in ensuring compliance. Continued efforts are needed to sustain progress with future work evaluating the impact of PAAPs on long-term asthmatic patient outcomes.

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