outpatient

  • Applicability of Outpatient Quality Indicators for Appropriate Antibiotic Use in a Primary Health Care Area: a Point Prevalence Survey
    Pharmacology
    Applicability of Outpatient Quality Indicators for Appropriate Antibiotic Use in a Primary Health Care Area: a Point Prevalence Survey

    The ability to measure the quality of antibiotic prescriptions is a critical element in all antimicrobial stewardship programs. The aims of the present study were to evaluate the clinimetric properties of 32 recently developed outpatient quality indicators (OQIs) and to identify potential room for improvement in antibiotic use in a primary health care (PHC) area. The study was performed in a PHC area in Barcelona, Spain with 260,657...

    Pablo March-López, Rosa Madridejos, Rosa Tomas, Lucía Boix-Palop, Paula Arcenillas, Lucía Gómez, Emma Padilla, Mariona Xercavins, Laura Martinez, Úrsula Massats, Cristina Badia, Joan Manuel Sánchez Lledó, Alberto Domingo Casino, Jordi Nicolás, Esther Calbo
  • Improved Antibiotic Prescribing within a Veterans Affairs Primary Care System through a Multifaceted Intervention Centered on Peer Comparison of Overall Antibiotic Prescribing Rates
    Epidemiology and Surveillance
    Improved Antibiotic Prescribing within a Veterans Affairs Primary Care System through a Multifaceted Intervention Centered on Peer Comparison of Overall Antibiotic Prescribing Rates

    Reducing inappropriate outpatient antibiotic use is an important national goal. Limited data exist on targeted education and peer comparison of overall antibiotic prescribing rates as an antimicrobial stewardship strategy. Primary care professionals (PCPs) from all seven clinics within our health care system were offered an education session, followed by monthly e-mails with their antibiotic prescribing rate, peer prescribing rates, and...

    Nathan R. Shively, Deanna J. Buehrle, Marilyn M. Wagener, Cornelius J. Clancy, Brooke K. Decker
  • Open Access
    First-Line Antibiotic Selection in Outpatient Settings
    Editor's Pick Epidemiology and Surveillance
    First-Line Antibiotic Selection in Outpatient Settings

    Using the 2014 IBM MarketScan commercial database, we compared antibiotic selection for pharyngitis, sinusitis, and acute otitis media in retail clinics, emergency departments, urgent care centers, and offices. Only 50% of visits for these conditions received recommended first-line antibiotics. Improving antibiotic selection for common outpatient conditions is an important stewardship target.

    Danielle L. Palms, Lauri A. Hicks, Monina Bartoces, Adam L. Hersh, Rachel Zetts, David Y. Hyun, Katherine E. Fleming-Dutra
  • Epidemiology and Surveillance
    Prevalence of Inappropriate Antibiotic Prescribing in Primary Care Clinics within a Veterans Affairs Health Care System

    Data are needed from outpatient settings to better inform antimicrobial stewardship. In this study, a random sample of outpatient antibiotic prescriptions by primary care providers (PCPs) at our health care system was reviewed and compared to consensus guidelines.

    Nathan R. Shively, Deanna J. Buehrle, Cornelius J. Clancy, Brooke K. Decker
Back to top