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Standardizing Strep Throat Documentation in a Pediatric Outpatient Setting During COVID-19: A Quality Improvement

Jennifer Nance, Elizabeth Walters, Zachary Willis

    The Journal for Nurse Practitioners : JNP
    |October 24, 2022
    PubMed

    Insights

    Adhering to group A streptococcal (GAS) pharyngitis guidelines reduces unnecessary clinic visits and antibiotic use. Standardizing nurse documentation improved communication and resource management in a pediatric clinic.

    Area of Science:

    • Pediatric infectious diseases
    • Clinical quality improvement
    • Guideline adherence

    Background:

    • Nonadherence to Group A Streptococcus (GAS) pharyngitis guidelines results in increased healthcare utilization.
    • Unnecessary clinic visits, bacterial testing, and antibiotic prescriptions are consequences of guideline nonadherence.

    Purpose of the Study:

    • To standardize nurse documentation to align with GAS guidelines.
    • To improve clinician communication and reduce resource utilization.

    Main Methods:

    • Quality improvement methodology was applied during nurse telephone triage.
    • Standardization of documentation processes was implemented in an outpatient pediatric clinic.

    Main Results:

    • Standardized documentation improved communication among clinicians.
    • Decreased unnecessary resource and antibiotic use was observed.
    • Project implementation faced challenges due to COVID-19.

    Conclusions:

    • Standardizing documentation to GAS guidelines is effective in reducing unnecessary healthcare resource use.
    • Quality improvement initiatives can enhance guideline adherence in pediatric settings.
    • Effective communication and resource management are key outcomes of guideline standardization.

    Keywords:
    COVID-19antibiotic overusegroup A streptococcal pharyngitisquality improvementstrep throat

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