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Institution of an evidence-based protocol to reduce time for antibiotic administration for open fractures in the emergency department: a pilot study
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TitleInfo
Title
Institution of an evidence-based protocol to reduce time for antibiotic administration for open fractures in the emergency department: a pilot study
Name
(type = personal)
NamePart
(type = family)
Ray
NamePart
(type = given)
Jessica
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(type = date)
1988-
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Jessica Ray
Role
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(authority = RULIB)
author
Name
(type = personal)
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(type = family)
Kamienski
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(type = given)
Mary
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Mary Kamienski
Affiliation
Advisory Committee
Role
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(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Unadkat
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(type = given)
Deven
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Deven Unadkat
Affiliation
Advisory Committee
Role
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(authority = RULIB)
co-chair
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
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NamePart
School of Nursing - RBHS
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school
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Text
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theses
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2019
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(type = degree)
2019-05
Language
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(authority = ISO 639-3:2007);
(type = text)
English
Abstract
(type = abstract)
Purpose: Timely antibiotics administration within 60 minutes has shown to be one of the main components in preventing infections and further complications with open fractures. However, without a protocol, antibiotics are being administered at varying times. This project evaluated if the introduction of an evidence-based protocol will reduce the time for antibiotics administration for open fractures in the emergency department.
Methodology: This was a retrospective/prospective comparative cohort study that took place at a level two trauma center in New Jersey. An educational in-service utilized a pre/post test to educate the staff on the protocol which administered antibiotics within one hour. A chart review was conducted to see if there is a reduction in timing after protocol implementation. The sample size for both chart reviews was 18.
Results: There was a significant difference in score for the pretest (M= 76.02, SD=19.62) and posttest (M= 99.44, SD= 4.29); t(107)= -12.283, p < 0.00. The retrospective chart review showed that 50% of patients had antibiotics administered within 60 minutes. The prospective chart review showed that 88.9% of patients had antibiotics administered within 60 minutes. There was a statistical significance in the number of patients that received the antibiotics within 60 minutes post protocol implementation, p= 0.039.
Implications for Practice: Since there was a small sample size, future projects should have a larger sample size to see if the findings remain statistically significant. All emergency departments should utilize a protocol to ensure that antibiotics are administered within one hour. This can subsequently improve care and outcomes for this patient population.
Methodology: This was a retrospective/prospective comparative cohort study that took place at a level two trauma center in New Jersey. An educational in-service utilized a pre/post test to educate the staff on the protocol which administered antibiotics within one hour. A chart review was conducted to see if there is a reduction in timing after protocol implementation. The sample size for both chart reviews was 18.
Results: There was a significant difference in score for the pretest (M= 76.02, SD=19.62) and posttest (M= 99.44, SD= 4.29); t(107)= -12.283, p < 0.00. The retrospective chart review showed that 50% of patients had antibiotics administered within 60 minutes. The prospective chart review showed that 88.9% of patients had antibiotics administered within 60 minutes. There was a statistical significance in the number of patients that received the antibiotics within 60 minutes post protocol implementation, p= 0.039.
Implications for Practice: Since there was a small sample size, future projects should have a larger sample size to see if the findings remain statistically significant. All emergency departments should utilize a protocol to ensure that antibiotics are administered within one hour. This can subsequently improve care and outcomes for this patient population.
Subject
(authority = RUETD)
Topic
Family Nurse Practitioner in Emergency Care
Subject
(authority = LCSH)
Topic
Fractures, Open -- Treatment
Subject
(authority = LCSH)
Topic
Antibiotics
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Title
Rutgers University Electronic Theses and Dissertations
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ETD_9563
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application/pdf
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text/xml
Extent
1 online resource (55 pages) : illustrations
Note
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DNP
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Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
Identifier
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doi:10.7282/t3-6grd-s807
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
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The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Ray
GivenName
Jessica
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Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2019-02-25 12:36:06
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Name
Jessica Ray
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Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
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License
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
DateTime
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2019-05-31
DateTime
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2019-02-25T17:35:44
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2019-02-25T17:35:44
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