Standardizing Strep Throat Documentation in a Pediatric Outpatient Setting During COVID-19: A Quality Improvement Pilot Project

被引:1
作者
Nance, Jennifer [1 ]
Walters, Elizabeth [1 ]
Willis, Zachary [1 ]
机构
[1] Univ North Carolina Chapel Hill, Sch Nursing, Chapel Hill, NC 27599 USA
来源
JNP- THE JOURNAL FOR NURSE PRACTITIONERS | 2023年 / 19卷 / 02期
关键词
antibiotic overuse; COVID-19; group A streptococcal pharyngitis; quality improvement; strep throat; CARE;
D O I
10.1016/j.nurpra.2022.09.006
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Clinicians' nonadherence to the 2012 Infectious Diseases Society of America's group A streptococcal (GAS) pharyngitis guidelines leads to unnecessary in-person clinic visits, unnecessary use of bacterial testing, and inappropriate antibiotic prescriptions. Quality improvement methodology was used during nurse telephone triage at an outpatient pediatric clinic to standardize nurse documentation to align with the GAS guidelines. This pilot project's standardization resulted in improved communication among clinicians and decreased unnecessary resource and antibiotic use despite encountering barriers related to COVID-19.(c) 2022 Elsevier Inc. All rights reserved.
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页数:4
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共 16 条
  • [1] Telemedicine Infectious Diseases Consultations and Clinical Outcomes: A Systematic Review
    Burnham, Jason P.
    Fritz, Stephanie A.
    Yaeger, Lauren H.
    Colditz, Graham A.
    [J]. OPEN FORUM INFECTIOUS DISEASES, 2019, 6 (12):
  • [2] Carpenter R., 2021, Nurse Author Editor, V31, P3, DOI DOI 10.1111/NAE2.27
  • [3] Centers for Disease Control and Prevention, Antibiotic resistance HAI data
  • [4] Centor R M, 1981, Med Decis Making, V1, P239, DOI 10.1177/0272989X8100100304
  • [5] Deville J. G., 2021, COVID-19: clinical manifestations and diagnosis in children
  • [6] Telephone Triage Toolkit for Children's cancer services: A quality initiative
    Hawkins, Jeanette
    Jones, Philippa
    McShane, Bernie
    Morris, Helen
    Ollett, Louise
    Sanderson, Linda
    [J]. EUROPEAN JOURNAL OF ONCOLOGY NURSING, 2022, 56
  • [7] Institute for Healthcare Improvement, SCI IMPR IMPR 2020
  • [8] Jones A C., 2015, Improving the management of patients with sore throat in walk-in clinic at Cornell University
  • [9] Efficacy of an Evidence-Based Clinical Decision Support in Primary Care Practices A Randomized Clinical Trial
    McGinn, Thomas G.
    McCullagh, Lauren
    Kannry, Joseph
    Knaus, Megan
    Sofianou, Anastasia
    Wisnivesky, Juan P.
    Mann, Devin M.
    [J]. JAMA INTERNAL MEDICINE, 2013, 173 (17) : 1584 - 1591
  • [10] MD Calc, 2022, CTR SCOR MOD MCISAAC