Description
CAP Summary:
- Collecting pneumonia data according to vigilanz and search criteria includes ICD 10 for pneumonia (unspecified) and an antibiotic. Includes ED, inpatient, and discharge.
- Biofire PCR tests, atypical bacteria, and viral available – in house and turnaround time 2hrs
- Oct = 6 cases
Urine summary:
- Collecting urine data according to Vigilanz and search criteria is that they had to have a antibiotic and a urine culture
- Oct – Dec 3rd = 15 cases to review
Project Resources
Core Elements
Education
Educating clinicians about resistance and optimal prescribing.
Tracking
Monitoring antibiotic prescribing and resistance patterns.
PDSA Cycles
Progress on PDSA Cycle 2
6/13/24 Check-in:
- Have an Excel list of cases to enter
- Trying to figure out how to reach ER docs
- Still seeing 8 days of treatment – 1 dose in ER, 7 day prescription
- Hard to access abx prescription information
- Should be better with transition to Epic
- Still seeing 8 days of treatment – 1 dose in ER, 7 day prescription
- Put up info on med floor
- Utilize Samford guide; UW pocket guide
- Helpful to have structure of study design setup – can follow but not create this system
- Data reports very useful
- Keep Redcap open to submit data
Progress on PDSA Cycle 1
TBD: Return to ED committee meetings with data and introduce CAP duration project.
- Review duration
- Atypical coverage?
- Evaluate local data collection and opportunities for improvement
3/14/24 Meeting
- Have not shared report yet
- Pulling enough cases for data entry both for CAP and UTI
- Perceived increase in number of cases- changes in staff, may also be impacted by inc pt visits, case mix
- Stanford abx guide, TASP abx and laminated cards available at workstations
- Seems like ER is prescribing longer CAP durations than hospitalists
- A lot of UTI cases, selecting 3/month at the beginning, end, and middle to vary
- Identified CAP cases but need to enter into RedCap