Description
Problem: person who decides to treat a urine culture may not be the person who ordered the culture in the first place.
Goal: Get everyone in the same room! Need data to show and then discussion on how to improve.
Project Resources
Core Elements
Accountability
Appointing a single leader responsible for program outcomes. Experience with successful programs show that a physician leader is effective.
Action
Appointing a single leader responsible for program outcomes. Experience with successful programs show that a physician leader is effective.
Education
Educating clinicians about resistance and optimal prescribing.
Reporting
Regular reporting information on antibiotic use and resistance to doctors, nurses and relevant staff.
Tracking
Monitoring antibiotic prescribing and resistance patterns.
PDSA Cycles
Progress on PDSA Cycle 1
On a quarterly basis look at positive urine cultures, who ordered, if abx were ordered.
Up to 10 cases reviewed per quarter. Will focus on ASB and clinical issues identified by the team.
6 months of data:
648 UAs
82 urine cultures (13%)
(not reflexed, ordered independently)
16 patients chart reviewed
4 ASB/12 symptomatic
3/31 P&T meeting