The Resource Implementing the CDC's Core Elements of Outpatient Antibiotic Stewardship into the Urgent Care : A Quality Improvement Project, Deanna Powelson

Implementing the CDC's Core Elements of Outpatient Antibiotic Stewardship into the Urgent Care : A Quality Improvement Project, Deanna Powelson

Label
Implementing the CDC's Core Elements of Outpatient Antibiotic Stewardship into the Urgent Care : A Quality Improvement Project
Title
Implementing the CDC's Core Elements of Outpatient Antibiotic Stewardship into the Urgent Care
Title remainder
A Quality Improvement Project
Statement of responsibility
Deanna Powelson
Title variation
Antibiotic stewardship
Creator
Subject
Genre
Language
eng
Summary
Purpose: The inappropriate use of antibiotics has led to the development of antimicrobial resistance which is a severe threat to the public and an increasing global problem. The Centers for Disease Control and Prevention (CDC) estimates at least two million illnesses and 23,000 deaths are caused by antibiotic-resistant bacteria in the United States (CDC, 2014). The purpose of this quality improvement (QI) project was to evaluate the effectiveness of an antibiotic stewardship program (ASP) on urgent care providers' prescribing on viral respiratory tract infections (RTIs) including the common cold, pharyngitis, and bronchitis. Methods: This QI project implemented the CDCs Core Elements of Outpatient Antibiotic Stewardship Program (CEOASP) into an urgent care setting to determine the impact it had on inappropriate antibiotic prescribing for viral RTIs. The process will included displaying commitment letters and antibiotic stewardship (ABS) educational posters in each exam room, presented education on ABS, pathophysiology, diagnosis and treatment guidelines on viral RTIs, as well as education on patient communication techniques used with patients. Retrospective electronic medical record review was conducted from 600 randomly selected patients who presented for treatment of RTIs during the evaluation period. The statistical analysis used was Exact McNemar test. Results: A total of 600 charts, 300 preintervention, and 300 postintervention were evaluated in this study. The overall rate of inappropriate antibiotic prescribing decreased from 21.7% (n = 65) to 8.7% (n = 26), which is a 60% decrease in inappropriate antibiotic prescribing which results in a p < .001%. Implications for Practice: Implementing the Core Elements of Outpatient ASP is needed to promote ABS and the judicious use of antibiotics in the treatment of RTIs.in the outpatient setting
Member of
Cataloging source
UMS
http://library.link/vocab/creatorName
Powelson, Deanna
Degree
DNP
Dissertation year
2018
Granting institution
University of Missouri--St. Louis
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/subjectName
  • Centers for Disease Control and Prevention (U.S.)
  • Antibiotics
  • Drug resistance in microorganisms
  • Anti-infective agents
Label
Implementing the CDC's Core Elements of Outpatient Antibiotic Stewardship into the Urgent Care : A Quality Improvement Project, Deanna Powelson
Instantiates
Publication
Note
Title from title page of PDF (University of Missouri--St. Louis, viewed October 11, 2018)
Bibliography note
Includes bibliographical references (pages 21-26)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
1056624933
Extent
1 online resource (39 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations (some color)
Specific material designation
remote
System control number
(OCoLC)1056624933
Label
Implementing the CDC's Core Elements of Outpatient Antibiotic Stewardship into the Urgent Care : A Quality Improvement Project, Deanna Powelson
Publication
Note
Title from title page of PDF (University of Missouri--St. Louis, viewed October 11, 2018)
Bibliography note
Includes bibliographical references (pages 21-26)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
1056624933
Extent
1 online resource (39 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations (some color)
Specific material designation
remote
System control number
(OCoLC)1056624933

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