Ashley Blachford, Author at Journal of Urgent Care Medicine

Dedicated EHR Time Reduces After-Hours Work For Clinicians

A study of general internal medicine physicians from 2 ambulatory practice networks evaluated whether reserving protected time for EHR tasks—such as messaging, prior authorizations, or medication refills—affects physician productivity and hands-on EHR time. Researchers compared 130 general internal medicine physicians (41 in the intervention group and 89 in the control group) from November 2021 to June 2024 and set aside 1 appointment slot per half-day (20-30 minutes) dedicated to asynchronous EHR tasks. As published in …

Maternal Syphilis Rises More Than 1,000% In Mississippi

A retrospective analysis in JAMA Network Open examined trends in maternal syphilis infections in Mississippi from 2013–2023 and found that during the 10-year period, infections increased from 86 cases per 100,000 births to 1,016 cases per 100,000 births. The overall rise was 1,088%. Among the 1,421 pregnant women with syphilis included in the study, gaps in prenatal care were common: 34% lacked first-trimester care and 4.5% received no prenatal care. Analysis showed a sustained average …

Oral GLP-1 Medication Begins Production in US

The Food and Drug Administration (FDA) has approved semaglutide tablets as the first oral GLP-1 medicine for obesity in adults. According to a press release, the once-daily pill is also indicated to reduce the risk of major adverse cardiovascular events including death, heart attack, or stroke in adults with overweight or obesity and cardiovascular disease. Previously only available as an injectable, semaglutide’s oral formulation could expand treatment for patients who are reluctant to use an …

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 …

Why IFU Limitations Matter in Urgent Care Lab Testing

Urgent Message: Urgent care teams can take practical steps to safeguard quality for Clinical Laboratory Improvement Amendments (CLIA)-waived testing by following detailed Instructions for Use information. Key Words: Clinical Laboratory Improvement Amendments; CLIA-Waived Testing; Certificate of Waiver Cathy Bohrer, MT(ASCP) Laboratory tests commonly used in urgent care are only reliable when their Instructions for Use (IFU)—including any limitations—are followed. For urgent care leaders, this isn’t just about compliance with federal regulations. Patient outcomes, safety, and …

4-Year-Old Male With Elbow Pain Following a Fall from Monkey Bars

A 4-year-old male presents to urgent care with a swollen, painful right elbow. The mother reports that the child had a witnessed fall from the monkey bars 1 hour prior to arrival. He fell onto his outstretched right hand, was in immediate pain that has not subsided, and has refused to let anyone touch his arm. On initial examination, vital signs are stable, and patient is afebrile. Swelling is noted over the right elbow, and …

53-Year-Old Woman With Dark Patchy Spots on Face and Neck

A 53-year-old woman visits urgent care for dark patchy spots on her neck and face that have been spreading over the past 3 months. The lesions are not painful or itchy, she denies exposure to allergens or irritants, and has no systemic symptoms. The patient states that sun exposure darkens the spots further and she has not tried any treatments to date. On examination she appears well with normal signs; hyperpigmented gray macular patches are …

60-Year-Old With Prior Myocardial Infarction

A 60-year-old male with a past medical history of prior myocardial infarction (MI) is presenting with left-sided chest pain for 1 day. He reports nonadherence to his clopidogrel for 2 weeks after running out of his medications. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Abstracts in Urgent Care – January 2026

Prevention of RSV Disease in Healthy Infants Take Home Point: In this early phase, drug-manufacturer-funded clinical trial, a single dose of clesrovimab reduced the incidence of respiratory syncytial virus (RSV)-associated medically attended lower respiratory infection and RSV-associated hospitalization, with a safety profile similar to that of a placebo. Citation: Zar HJ, Simões E, Madhi S, et. al. Clesrovimab in Infants and Children at Increased Risk for Severe RSV Disease. New Eng J Med. 2025:393, 13;1292-1303. …

Management of Acute Opioid Withdrawal in a Patient With an Unknown Prescribing History: A Case Report

Urgent Message: Opioid prescribing in urgent care can present difficulties, particularly in patients with an unclear prescription history where added caution is needed. There are a number of ways to reduce the risks associated with opioid prescribing and to initiate the treatment of opioid withdrawal in the urgent care setting. Jacob Mather, BSc MBChB Key Words: Addiction, Opioid Withdrawal, Prescribing, Urgent Care Abstract Introduction: We report a complex case of a 37-year-old woman presenting to …

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