Improving Antibiotic Overuse in Primary Care: A Multimodal Quality Improvement Project.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-05-01 DOI:10.1097/NUR.0000000000000817

Anestasia Wharton, Bonnie Jerome-D'Emilia, Margaret Avallone

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引用次数: 0

Abstract

Purpose: Antibiotic overuse has increased over time related to provider knowledge gaps about best practices, provider perception of patient expectations on receiving an antibiotic, possible pressure to see patients in a timely fashion, and concerns about decreased patient satisfaction when an antibiotic is not prescribed. The Centers for Disease Control and Prevention estimates that up to 30% of antibiotics are inappropriately prescribed in the outpatient setting.

Approach: This quality improvement project consisted of a multimodal approach to decrease inappropriate antibiotic prescribing for viral upper respiratory infections (URIs) by using provider education, passive patient education, and clinical decision support tools based on Centers for Disease Control and Prevention recommendations and the Be Antibiotic Aware tool.

Outcomes: Following implementation, there was an 11% decrease in viral URI antibiotic prescribing, from a rate of 29.33% to 18.33% following the multimodal implementation.

Conclusion: The use of evidence-based education and treatment guidelines was found to decrease inappropriate antibiotic prescribing for patients diagnosed with viral URIs.

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改善初级保健中抗生素的过度使用：多模式质量改进项目。

目的：随着时间的推移，抗生素过度使用的情况越来越多，这与医疗服务提供者在最佳实践方面的知识差距、医疗服务提供者对患者接受抗生素期望值的看法、及时为患者看病可能带来的压力以及对不开抗生素会降低患者满意度的担忧有关。据美国疾病控制与预防中心估计，门诊环境中多达 30% 的抗生素处方不当：该质量改进项目包括一种多模式方法，即根据美国疾病控制与预防中心的建议和 "提高抗生素意识 "工具，利用医疗服务提供者教育、患者被动教育和临床决策支持工具，减少病毒性上呼吸道感染（URI）的不当抗生素处方：多模式实施后，病毒性尿路感染抗生素处方减少了 11%，从 29.33% 降至 18.33%：结论：使用循证教育和治疗指南可减少病毒性尿路感染患者不适当的抗生素处方。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.