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Antibiotic prescribing strategy for acute respiratory tract infections in the emergency department
Descriptive
TitleInfo
Title
Antibiotic prescribing strategy for acute respiratory tract infections in the emergency department
Name
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Oguntoye
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Ayo
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Ayo Oguntoye
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(authority = RULIB)
author
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(type = personal)
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Benenson
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Irina
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Irina Benenson
Affiliation
Advisory Committee
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(authority = RULIB)
chair
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Rutgers University
Role
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(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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ETD doctoral
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2020
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2021-05
Language
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English
Abstract
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Purpose of the project: Unnecessary prescribing of antibiotic to treat acute respiratory tract infections (RTI) is recognized as a key contributor to antibiotic resistance and to public health. The aim of this project was to reduce antibiotic prescribing for RTIs by training Emergency Department (ED) providers to use the clinical pathway and the ideas, concerns and expectations (ICE) method.
Methodology: A group training session was delivered to all current ED providers (n=23) at a 451-bed, acute-care not-for profit hospital in Northern New Jersey. The education was reinforced by printed flowcharts posted in the provider workstations summarizing the use of clinical pathway and ICE in the management of RTI. Pre and post-intervention chart review was completed to assess the antibiotic prescribing rate for RTIs. A total of 90 patients’ charts were sampled, 42 in the pre-intervention and 48 in the post-intervention period. Chi-squared test was utilized to assess whether there was a statistically significant difference in frequencies of antibiotic prescribing.
Results: There was a statistically significant decrease in antibiotic prescribing for RTIs from 30.95% to 12.50% (p = .03) following the intervention. Additionally, there was an observed reduction in the use of diagnostic assays, although this was not statistically significant. In the follow-up survey majority of providers 84% expressed strong positive opinion that the ICE method should be adopted as part of the standard protocol during the patient-provider consultation.
Implications for practice: This finding highlights the importance of stricter guideline adherence as well as enhanced communication between the patient and the provider.
Methodology: A group training session was delivered to all current ED providers (n=23) at a 451-bed, acute-care not-for profit hospital in Northern New Jersey. The education was reinforced by printed flowcharts posted in the provider workstations summarizing the use of clinical pathway and ICE in the management of RTI. Pre and post-intervention chart review was completed to assess the antibiotic prescribing rate for RTIs. A total of 90 patients’ charts were sampled, 42 in the pre-intervention and 48 in the post-intervention period. Chi-squared test was utilized to assess whether there was a statistically significant difference in frequencies of antibiotic prescribing.
Results: There was a statistically significant decrease in antibiotic prescribing for RTIs from 30.95% to 12.50% (p = .03) following the intervention. Additionally, there was an observed reduction in the use of diagnostic assays, although this was not statistically significant. In the follow-up survey majority of providers 84% expressed strong positive opinion that the ICE method should be adopted as part of the standard protocol during the patient-provider consultation.
Implications for practice: This finding highlights the importance of stricter guideline adherence as well as enhanced communication between the patient and the provider.
Subject
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Topic
Adult-Gerontology Acute Care Nurse Practitioner
Subject
(authority = local)
Topic
Antibiotic
Subject
(authority = LCSH)
Topic
Respiratory infections -- Treatment
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Rutgers University Electronic Theses and Dissertations
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ETD
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ETD_11474
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application/pdf
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text/xml
Extent
1 online resource (73 pages) : illustrations
Note
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DNP
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Includes bibliographical references
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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-mabd-v881
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Rights
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The author owns the copyright to this work.
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Name
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OGUNTOYE
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AYO
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Permission or license
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2021-01-17 11:41:46
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AYO OGUNTOYE
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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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
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2021-05-31
DateTime
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2023-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2023.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2021-01-17T16:34:30
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2021-03-10T15:07:57
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