The goal of this QI initiative was to decrease inappropriate antibiotic for the treatment of pediatric upper respiratory infection (URI) in the retail clinic setting. The approach included the use of a protocol to treat viral upper respiratory illness, a visual aid decision-making tool for guideline adherence, prescription pad for nonprescription remedies, and shared decision-making techniques for providers to involve patients and parents in management plans regarding nonprescription remedies, supportive treatment, and signs and symptoms that would warrant a return visit. An improvement trend during the first 3 months of the initiative showed a shift in antibiotic avoidance from a baseline avoidance rate of 66% to a post intervention rate of 82%. The antibiotic avoidance initiative proved to be an effective approach in reducing the rate of inappropriate antibiotic treatment for pediatric viral upper respiratory conditions.
Lucas, S. H., & Thompson, S. (2017). Reducing Antibiotic Use in Pediatric Upper Respiratory Infection: A Multifaceted Parent-Clinician Approach. Journal of Nursing & Interprofessional Leadership in Quality & Safety, 1 (2). Retrieved from http://digitalcommons.library.tmc.edu/uthoustonjqualsafe/vol1/iss2/6