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Enhancing Aerosol Drug Delivery

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An Analysis of Features of Respiratory Care<br />

Departments That are Avid for Change<br />

Stoller JK, Kester L, Roberts VT, et al. Respir Care, July 2008.<br />

Change a cornerstone of medical life<br />

‣ IPPB, Isuprel, oxygen tents, large V T<br />

, reusable nebs, etc.<br />

Effective change management essential<br />

‣ Its tough, but necessary and inevitable!<br />

“Change-avid” RT departments unique<br />

‣ Uses 2 of the following<br />

Information management system<br />

Comprehensive protocol program<br />

NIPPV > 20% patients with AE-COPD

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