Description
I would like to make sure providers are aware that shorter days of therapy is equally effective to traditional 7-14 day courses and safer.
- according to my chart reviews so far… we are not utilizing procalcitonin to make decisions on days of therapy/appropriateness of antibiotics for bacterial pneumo
We have not been using nasal MRSA PCR test to rule our MRSA pneumonia. Low -hanging fruit here. Would be an easy task for pharmacists lead change as swabbing can be done after decision to start vanco is already historical. I think physicians would learn quickly and test before we even get to it.
Project Resources
Core Elements
Education
Educating clinicians about resistance and optimal prescribing.
PDSA Cycles
Progress on PDSA Cycle 2
Boiled down project to obtainable tasks after check in with Zhara-
Jessica tasks.
Make sure getting data submitted. This is important so that I can have data to share part way through the project time line.
Showing the data from our hospital will act as a nudge for clinic providers. They will learn from others actions.
-need to re-submit some data for CAP from the first submissions. Accidently made them + for RSV,COVID and flu
Share data mid-project
Secondary project- see if lab would be willing to coordinate/plan/educate on utility of procalcitonin use
is this an in-house lab? is it terribly expensive? do we have a rocky history with it? or… we just are not well educated in it’s use and utility in decision making? Jan 24 IQIC meeting will have more info for this lab…
Data entry-catch up and keep up
Progress on PDSA Cycle 1
Is the education to reduce days of antibiotic therapy for pneumonia patients working?
Some providers will respond and shorten days… others will not.
Pharmacists and providers will be involved. (would like a handy dandy hand out to educate providers)
Could start with ER physicians… but starting with a small group may not be necessary b/c we are such a small center. If clinic providers were to change their practice this could make a big impact.
hand out to email or print
educate providers in med staff meeting.
1/11/24 Check-in – to do (CAP):
- Collect data
- Look into procalcitonin cost and turnaround time
- Share data back to ED inpatient with education on duration
- Connecting with lab regarding procalcitonin and MRSA nasal swabs
- Building a case for quality improvement based on lab interests
- Procalcitonin education for providers
- Connect with clinic providers to share hospital/ED data to discuss duration for CAP