Journal of Urgent Care Medicine

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 …

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 …

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 …

Analysis of Short Course Systemic Glucocorticoid Prescribing in Urgent and Convenient Care Clinics

Urgent Message: Across a tristate urgent care and convenient care network, systemic steroid use occurred in nearly one-sixth of encounters (15.5%)—72.5% for likely avoidable indications and 66% for acute respiratory infections. The finding highlights the need to establish systemic steroid metrics to drive stewardship efforts. Paul Hansen, MD; Yang Wang, PhD; Muhammad Naseer, MD Abstract Background: The College of Urgent Care Medicine released a position statement advocating for corticosteroid stewardship best practices in 2022, …

Brief Report: PrEPare for Action – A Quality Improvement Project for Expanding HIV Screening in the Urgent Care Setting During the COVID-19 Pandemic

Citation: Hunt E, Greger M, Shipley N. Brief Report: PrEPare for Action – A Quality Improvement Project for Expanding HIV Screening in the Urgent Care Setting During the COVID-19 Pandemic. J Urgent Care Med. 2025; 19(9): 21-23 Download the Article PDF: Brief Report: PrEPare for Action – A Quality Improvement Project for Expanding HIV Screening in the Urgent Care Setting During the COVID-19 Pandemic Urgent Message: A quality improvement program demonstrated the successful integration of …

Brief Report: A Pilot Quality and Feasibility Project Focusing on Clinician Use of an Order Set for Acute Asthma Care in Pediatric Urgent Care Centers

Urgent Message: There are limited data on implementation and use of clinical decision support tools for the evidence-based management of asthma in pediatric urgent care settings. In this pilot project, providing reports and feedback to clinicians on their use of order sets increased utilization of order sets but not adherence to best practice guidelines for asthma care. Richmond Darko, MD, MPH; Andrea Aguilera, MD; Gabriela Lins, DO; Maria Ramon-Coton, MD Citation: Darko R, Aguilera A, …

Comparing Outcomes for Outpatients Treated With Cephalexin for Uncomplicated Cystitis: Is QID Dosing Necessary?

Urgent Message: Patients commonly seek unscheduled care for urinary tract infections (UTIs). Cephalexin is among the most frequently prescribed antibiotics for acute UTI treatment, however, dosing regimens lack standardization. In this small observational study, similar rates of clinical cure and adherence were observed with cephalexin 500 mg dosed every 12 hours vs every 6 hours in patients with cystitis, calling into question whether QID (4 times per day) dosing is necessary. Cassandra Lopane, PharmD; Erica …

Systematic Rapid Review: Efficacy of Hematoma Blocks for Pediatric Forearm Fractures

Shomel Gauznabi, MBChB, FRNZCGP, FRACGP, FRNZCUC, MD; Ivan Koay, MBChB, MRCS, FRNZCUC, MD Urgent Message: There is literature supporting that regional anesthesia, specifically hematoma blocks, is a safe, effective, and well tolerated alternative to procedural sedation for the management of pediatric forearm fractures. Citation: Gauznabi S, Koay I. Systematic Rapid Review: Efficacy of Hematoma Blocks for Pediatric Forearm Fractures. J Urgent Care Med. 2024; 19(x):42-50 Key Words: pediatric forearm fractures, anesthesia, hematoma blocks, urgent care …

Development of a Positive Urinalysis Criteria Using a Machine Learning Approach

Urgent Message: There are no consensus definitions for what defines a “positive” urinalysis in the pediatric population. This secondary analysis of data from a quality improvement project in a network of pediatric urgent care centers used a machine learning approach to determine which variables on urinalysis most strongly predict a subsequently positive urine culture. Kari Flicker, BS; Jessica Parrott, DNP, CPNP-PC, CNE; Tammy Speerhas, DNP, FNP-C; Turaj Vazifedan, DHSc; Theresa Guins, MD; Jeffrey Bobrowitz, MD; …

Development and Implementation of a Headache and Migraine Pathway in Pediatric Urgent Care: A Quality Improvement Initiative

Urgent Message: There are an estimated 250,000 visits annually associated with pediatric headaches in the United States, 84% of which are not treated according to best evidence-based practice (EBP). The development of an EBP headache and migraine pathway in a pediatric urgent care improved access to evidence-based guidelines and increased clinician confidence and knowledge regarding the diagnosis and management of headaches in children. Sarah J. Nembu, DNP, APRN, FNP-C, CPNP-AC; Melissa R. Penkalski, DNP, APRN, …

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