The Impact of Parental Pressure on Providers Practicing in Pediatric Urgent Care
Urgent Message: Pediatric urgent care providers commonly experience pressure to satisfy parental expectations, which may alter clinical decision making, increase stress levels, and/or impart barriers to administering quality care. Keywords: parental pressure; antibiotic prescribing; shared decision-making; pediatric urgent care; patient satisfaction; clinical decision-making Daniel Moscato, MS, PA-C; Sara Winter, MS, PA-C Abstract Background: Patient-centered care focuses on strengthening patient participation in their own healthcare. Although advantages to such care exist, intended shared decision making between providers and their patients has been paradoxically documented to impart negative impacts on the providers …
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Algorithmic Prediction of Utilization and Financial Viability Modeling for Point-of-Care Ultrasound (POCUS) in Adult Urgent Care Patients
Urgent Message: The prediction model developed for this study suggests that point-of-care ultrasound implementation could have both clinical utility and fiscal viability in an average urgent care center. Future work should validate the prediction model in a real-world urgent care setting. Key Words: point-of-care ultrasound; POCUS utilization; urgent care ultrasound; return on investment; financial modeling; implementation planning John Weissert; Joshua Russell, MD, MSc, ELS, FCUCM, FACEP; Tatiana Havryliuk, MD Abstract Introduction: Point-of-care ultrasound (POCUS) use has increased rapidly in emergency department settings in the evaluation of a wide variety of …
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Improving Chart Closure Time in a Pediatric Urgent Care Setting
Urgent Message: Quality improvement projects can increase the percentage of charts closed within 1 hour of patient discharge at pediatric urgent and express care locations to ensure timely documentation. Key Words: Electronic Health Records, Documentation, Pediatrics, Ambulatory Care, Patient Safety, Quality Improvement Kileen Fernandez, MS, APRN-CPNP-PC; Lisa Ziemnik, MD, FAAP; Beth Williams, MBA, BSIE; Abiodun Omoloja, MD, MBA, CPE, FASN, FAMIA; Jennifer Morris, MS, APRN-CNP-PC, RNC-NIC; Maddie Mock, BSME; Thomas Geglein, BSN, RN, MBA; Kimberly Joo, DNP, APRN-CNP, CNE, EBP-C Abstract Background: Timely electronic health record (EHR) chart closure in …
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Leveraging Physician-Patient Relationships to Increase Patient Portal Access During an Urgent Care Visit
Urgent Message: Urgent care physicians can leverage the physician-patient relationship established during a visit to improve patient portal enrollment and use in a healthcare system. Sandy Wang, MD, MPH; Carolyn Stern, MD; Kevin Fiscella, MD, MPH; Amaya Sanders, BS; Erik Herbert, BS; Rosie Booker, BS; Tyra Barton, LPN; Mechelle Sanders, PhD Key Words: Electronic Health Records, Patient Portals, Urgent Care, Quality Improvement Abstract Background: Patient portals for accessing electronic health records are useful for easy communication and for keeping patients informed and engaged in their medical care. However, in a …
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COVID-19 Antiviral Prescribing In Urgent Care By Patient Ethnicity
Urgent Message: This study confirms variable prescription rates among different ethnicities in Aotearoa, New Zealand, for COVID-19 antiviral medication despite efforts to reduce health inequities. M. Adrianne Pimentel, MBChB, MHlthLd, FRNZCUC Key Words: Antiviral Prescribing, COVID-19, Comorbidity Abstract Introduction: In Aotearoa, New Zealand, COVID-19 disproportionately increased mortality and morbidity outcomes in Māori and Pacific patients. In an effort to counteract these health inequities, the government aimed to increase access to COVID-19 antiviral medication for Māori and Pacific patients with COVID-19 by changing the age threshold among ethnicities for those who …
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