Description
Change reflex criteria for UA to urine culture.
Project Resources
Core Elements
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.
Tracking
Monitoring antibiotic prescribing and resistance patterns.
PDSA Cycles
Your organization has completed the following PDSA cycles. Click a heading to view a cycle's details.
Get buy-in from teams for criteria change. Working with pathology, lab, quality improvement, hospitalists, ED, and IP.
Plan to use following criteria based off conversations w/ UW Valley Medical.
Collecting baseline data from Jan – March 2022 from ED that had urine collected and it reflexed.
Nurse educator distributed TASP ASB presentations.
For ABX awareness week 11/2021, distributed materials on asymptomatic bacteriuria and treats.
May 2022 – changed the UA reflex criteria and lab also de-linked UA from UCx (delinking was not seen favorably by ED providers)
June 2022 – Keriann met with ED providers to share data on ASB – final decision = keep stricter reflex criteria, but continue to link UA&UCx
Entering data in RedCap.
Next step: Get data from UW TASP to present to staff at next meeting.
Identify opportunities to optimize antibiotics –
- CTX + FQ combo
- Unnecessary FQ use
- Duration
Create provider specific report cards (already exist, can add stewardship metrics)
ASP tool = vigilanz. Rate of treatment of ASB, antibiotic use (FQ)