scholarly journals Provider Perceptions of Opioid Safety Measures in VHA Emergency Departments and Urgent Care Centers

2021 ◽  
Author(s):  
Nathalie Dieujuste
Keyword(s):  
Emergency Departments ◽  
Urgent Care ◽  
Safety Measures ◽  
Provider Perceptions ◽  
Urgent Care Centers

Finding the path of least resistance: Locally adapting the MITIGATE toolkit in emergency departments and urgent care centers

2021 ◽  
pp. 1-3
Author(s):  
Joanne Huang ◽  
Zahra Kassamali Escobar ◽  
Todd S. Bouchard ◽  
Jose Mari G. Lansang ◽  
Rupali Jain ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Antimicrobial Stewardship ◽  
Emergency Departments ◽  
Urgent Care ◽  
Complex Data ◽  
University Of Washington ◽  
Primary Care Clinics ◽  
Urgent Care Centers ◽  
The University

Abstract The MITIGATE toolkit was developed to assist urgent care and emergency departments in the development of antimicrobial stewardship programs. At the University of Washington, we adopted the MITIGATE toolkit in 10 urgent care centers, 9 primary care clinics, and 1 emergency department. We encountered and overcame challenges: a complex data build, choosing feasible outcomes to measure, issues with accurate coding, and maintaining positive stewardship relationships. Herein, we discuss solutions to challenges we encountered to provide guidance for those considering using this toolkit.

Most Transfers from Urgent Care Centers to Emergency Departments Are Discharged and Many Are Unnecessary

2018 ◽  
Vol 54 (6) ◽  
pp. 882-888 ◽  
Author(s):  
Tony Zitek ◽  
Ignasia Tanone ◽  
Alexzza Ramos ◽  
Karina Fama ◽  
Ahmed S. Ali
Keyword(s):  
Emergency Departments ◽  
Urgent Care ◽  
Urgent Care Centers

Cutaneous

2018 ◽  
pp. 285-289
Author(s):  
Judson Barber ◽  
Jacinta Cooper
Keyword(s):  
Local Anesthesia ◽  
Emergency Departments ◽  
Urgent Care ◽  
Incision And Drainage ◽  
Developmental Age ◽  
Urgent Care Centers ◽  
Outpatient Settings ◽  
Treatment Procedures

Lacerations, abscesses, and burns are common presenting complaints evaluated in outpatient settings, urgent care centers, and emergency departments. These conditions are often painful, and the treatment procedures may cause additional pain or anxiety. The location and severity of the wound and the chronologic and developmental age of the patient influence the need for local anesthesia or systemic medications to make procedures tolerable for the patient. This section discusses the safe administration of medications to facilitate laceration repair, incision and drainage of abscesses, and burn debridement. General principles of the types of analgesia or sedation that are useful for these procedures are discussed.

Online Ratings of the Patient Experience: Emergency Departments Versus Urgent Care Centers

2019 ◽  
Vol 73 (6) ◽  
pp. 631-638 ◽  
Author(s):  
Anish K. Agarwal ◽  
Kevin Mahoney ◽  
Amy L. Lanza ◽  
Elissa V. Klinger ◽  
David A. Asch ◽  
...  
Keyword(s):  
Patient Experience ◽  
Emergency Departments ◽  
Urgent Care ◽  
Online Ratings ◽  
Urgent Care Centers

Evaluation of antibiotic prescribing in emergency departments and urgent care centers across the Veterans’ Health Administration

2020 ◽  
pp. 1-8
Author(s):  
James L. Lowery ◽  
Bruce Alexander ◽  
Rajeshwari Nair ◽  
Brett H. Heintz ◽  
Daniel J. Livorsi
Keyword(s):  
Emergency Departments ◽  
Respiratory Infections ◽  
Antibiotic Use ◽  
Veterans Health Administration ◽  
Urgent Care ◽  
Antibiotic Prescribing ◽  
Veterans Health ◽  
Health Administration ◽  
Urgent Care Centers ◽  
Exacerbation Of Copd

Abstract Objective: Assessments of antibiotic prescribing in ambulatory care have largely focused on viral acute respiratory infections (ARIs). It is unclear whether antibiotic prescribing for bacterial ARIs should also be a target for antibiotic stewardship efforts. In this study, we evaluated antibiotic prescribing for viral and potentially bacterial ARIs in patients seen at emergency departments (EDs) and urgent care centers (UCCs). Design: This retrospective cohort included all ED and UCC visits by patients who were not hospitalized and were seen during weekday, daytime hours during 2016–2018 in the Veterans Health Administration (VHA). Guideline concordance was evaluated for viral ARIs and for 3 potentially bacterial ARIs: acute exacerbation of COPD, pneumonia, and sinusitis. Results: There were 3,182,926 patient visits across 129 sites: 80.7% in EDs and 19.3% in UCCs. Mean patient age was 60.2 years, 89.4% were male, and 65.6% were white. Antibiotics were prescribed during 608,289 (19.1%) visits, including 42.7% with an inappropriate indication. For potentially bacterial ARIs, guideline-concordant management varied across clinicians (median, 36.2%; IQR, 26.0–52.7) and sites (median, 38.2%; IQR, 31.7–49.4). For viral ARIs, guideline-concordant management also varied across clinicians (median, 46.2%; IQR, 24.1–68.6) and sites (median, 40.0%; IQR, 30.4–59.3). At the clinician and site levels, we detected weak correlations between guideline-concordant management for viral ARIs and potentially bacterial ARIs: clinicians (r = 0.35; P = .0001) and sites (r = 0.44; P < .0001). Conclusions: Our findings suggest that, across EDs and UCCs within VHA, there are major opportunities to improve management of both viral and potentially bacterial ARIs. Some clinicians and sites are more frequently adhering to ARI guideline recommendations on antibiotic use.

System Stresses in 2 Pediatric Emergency Departments and 2 Pediatric Urgent Care Centers During the 2014 Enterovirus-D68 Outbreak

2018 ◽  
Vol 34 (4) ◽  
pp. 250-252 ◽  
Author(s):  
Gregory P. Conners ◽  
Stacy J. Doyle ◽  
Milton A. Fowler ◽  
Lisa L. Schroeder ◽  
Thomas W. Tryon
Keyword(s):  
Emergency Departments ◽  
Pediatric Emergency ◽  
Urgent Care ◽  
Enterovirus D68 ◽  
Urgent Care Centers
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