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, but the extent of avoidable systemic short-course glucocorticoid (SSCG) use in urgent or convenient care clinics …
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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 HIV services into urgent care, achieving a higher consent rate than traditional settings. Erin Hunt, …
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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, Lins G, Ramon-Coton M. Brief Report: A Pilot Quality and Feasibility Project Focusing on Clinician …
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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 Reed, PharmD, MBOE; Elizabeth Rozycki Citation: Lopane C, Reed E, Rozycki E. Comparing Outcomes for …
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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 Author Affiliations: Shomel Gauznabi MBChB. FRNZCGP. FRACGP. FRNZCUC, University of Auckland, New Zealand. Ivan Koay …
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