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Titre : | Improving a Urine Culture Callback Follow-up System in a Pediatric Emergency Department (2015) |
Auteurs : | Patrick Burchett ; Scott Harpin ; Ann Petersen-Smith |
Type de document : | Article |
Dans : | Journal of Pediatric Health Care (Vol. 29, n°6, November-December 2015) |
Article en page(s) : | p. 518-525 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Efficacité ; Infections urinaires ; Médicament ; Recherche ; Soins de l'enfant ; Thérapeutique ; Urgences |
Résumé : |
Introduction
Delays in appropriate treatment and unnecessary antibiotic use for urinary tract infections (UTIs) increase the risk for serious adverse events and the potential for antibiotic resistance. The purposes of this quality improvement project were to decrease emergency department laboratory result follow-up time and increase the number of patients who are notified to stop taking an empiric antibiotic. Method Nine months of Plan-Do-Study-Act (PDSA) cycles were implemented in a pediatric emergency department and network of care sites. Three months of baseline data were compared with 3 months of postinvention data using t-tests and odds ratios. Results Time to patient/family laboratory follow-up was reduced from 20.1 hours to 7.1 hours, demonstrating a 64.7% reduction in time to follow-up (p Discussion Implementation of a culture callback system, staffed by advanced practice providers, led to a significant reduction in the amount of time to follow-up and increased the number of follow-up calls to discontinue antibiotics when urine cultures were negative. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |