A Learning Collaborative to Improve Antibiotic Prescribing in Primary Care Pediatric Practices
| Autor: | Suzanne Emmer, Jeff Mapp, Monina Bartoces, Jennifer D. Monti, Allison Shaw, Chuck Norlin, Kevin Barger, Katherine E. Fleming-Dutra, Judith C. Dolins |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Quality management Acute otitis media Primary care Pediatrics Article Antibiotic prescribing Antimicrobial Stewardship 03 medical and health sciences 0302 clinical medicine Patient Education as Topic 030225 pediatrics otorhinolaryngologic diseases Humans Medicine 030212 general & internal medicine Practice Patterns Physicians' Medical prescription Child Respiratory Tract Infections Societies Medical Insurance Health Primary Health Care business.industry Respiratory infection Collaborative learning Quality Improvement Anti-Bacterial Agents Otitis Media Family medicine Pediatrics Perinatology and Child Health business Patient education |
| Zdroj: | Clin Pediatr (Phila) |
| ISSN: | 1938-2707 0009-9228 |
| Popis: | An American Academy of Pediatrics State Chapter organized a 6-month, mostly online quality improvement learning collaborative to improve antibiotic prescribing and patient education for upper respiratory infection (URI) and acute otitis media (AOM). Practices submitted data on quality measures at baseline, monthly, and 4 months post-project. Fifty-three clinicians from 6 independent, private primary care pediatric practices participated. Use of first-line antibiotics for AOM increased from 63.5% at baseline to 80.4% 4 months post-project. Use of safety-net antibiotic prescriptions (SNAP) for AOM increased from 4.5% to 16.9%. Educating patients about management for URI increased from 66.1% to 88.0% and for AOM from 20.4% to 85.6%. Practices maintained high performance for not prescribing antibiotics for URI (94.4% to 96.2%). Leveraging local relationships and national resources, this replicable antibiotic stewardship project engaged independent private practices to improve patient education for URI and AOM and prescribing and use of SNAP for AOM. |
| Databáze: | OpenAIRE |
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