Use of a Quality Improvement Tool for the Evaluation of Healthcare Disparities in Urgent Care: A Case Example for Bacterial Pneumonia

Use of a Quality Improvement Tool for the Evaluation of Healthcare Disparities in Urgent Care: A Case Example for Bacterial Pneumonia

Urgent message: While healthcare disparities have been studied in several healthcare sites, it is unclear whether these disparities persist in the urgent care setting. This study provides a quality improvement tool to assess whether these disparities persist in an urgent care clinic. Derrick Murcia and Lindsey Fish, MD ABSTRACT Background Bacterial pneumonia is an illness commonly seen across urgent care clinics. Despite several studies that have identified healthcare disparities in treating bacterial pneumonia in general, …

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Weight Loss, Abdominal Pain, and Distension in a 74-Year-Old Woman

Weight Loss, Abdominal Pain, and Distension in a 74-Year-Old Woman

Urgent message: Not all GI complaints can be attributed to gastrointestinal pathology; symptoms of dyspepsia, vomiting, early satiety, weight loss, and abdominal pain may also be from a pelvic etiology. Fabrizia Faustinella, MD, PhD and Alexandre L. Frigini, MD INTRODUCTION Gastrointestinal complaints are common in ambulatory centers, urgent care, and in emergency departments. The symptoms of abdominal pain, nausea, and vomiting account for 12% to 15% of ED visits.1 Several non-GI intra-abdominal, endocrine, and pelvic …

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Case Report: Reoccurring Metatarsophalangeal Joint Pain

Case Report: Reoccurring Metatarsophalangeal Joint Pain

Urgent message: Acute or chronic hallux pain is a common complaint in urgent care. Due to the structure, several diagnoses can have similar presentation on history and exam. With this discussion, we examine a sesamoid stress injury. Sergio P. Ramoa, MD, MS INTRODUCTION The tibial (medial) and fibular (lateral) sesamoids are contained within the flexor hallucis brevis tendons along the metatarsal head.1 They have several roles such as absorbing weight, helping glide and reducing friction …

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Case of a Nonhealing ‘Sunburn’ on a Toddler

Case of a Nonhealing ‘Sunburn’ on a Toddler

Urgent message: Rashes are a common ailment, and their etiology can have overlapping appearances. In a case where rash does not improve with treatment, it is often necessary to reconsider the differential. Sergio Ramoa MD, MS INTRODUCTION It is common for providers to have difficulty diagnosing patients who present with rash due to the diverse appearances, as well as overlapping similarities, of different etiologies. Due to the extensive nature of rashes, this article will focus …

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An Unresponsive Pupil in the Urgent Care: Can A Diagnosis Be Made from the Bedside History and Exam?

An Unresponsive Pupil in the Urgent Care: Can A Diagnosis Be Made from the Bedside History and Exam?

Urgent message: Ocular complaints for which there is no immediate, obvious explanation do not necessarily have to be referred to the emergency room or ophthalmology. Employing the process of elimination to narrow down a broad differential, using the available evidence, can expedite the correct diagnosis while allowing the patient to remain in the urgent care. Kayla Penny, BS; Joseph LaRochelle, PharmD, BCPPS, FCCP; Deirdre Hooper, MD; Haley Caire, BS; and Kelsey Rooney, BS CASE PRESENTATION …

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A Novel Method for Blinding Reviewers to Gender of Proceduralists for the Purposes of Gender Bias Research

A Novel Method for Blinding Reviewers to Gender of Proceduralists for the Purposes of Gender Bias Research

Urgent message Gender bias, whether overt or subconscious, may be to blame for disparities in hiring practices, salary, and advancement in medical schools, the urgent care setting, and any healthcare workplace. Recognizing the value of gender-neutral assessment may not only “even the playing field,” but increase the likelihood of identifying the best candidates for clinical positions. Michael Pallaci, DO; Jennifer Beck-Esmay, MD; Adam R. Aluisio, MD, MSc; Michael Weinstock, MD; Allen Frye, NP; Ashley See, …

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When It’s More Than Just A Cough

When It’s More Than Just A Cough

Urgent message: Take vital signs and physical examination of the chest with the utmost importance when evaluating a patient with a cough. The common complaint of “cough” in the urgent care setting can be a symptom of a life-threatening pathology. Frank Schaller, DNP, APRN, FNP-C and Lauren Dunn, MSN, APRN, FNP-C INTRODUCTION Cough is a common complaint across healthcare settings including the emergency department (ED), urgent care, and primary care arenas—especially during influenza season.1 Cough …

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Employer COVID-19 Testing Needs are Not Fully Met; Rapid Testing is an Unprecedented Opportunity for Urgent Care

Employer COVID-19 Testing Needs are Not Fully Met; Rapid Testing is an Unprecedented Opportunity for Urgent Care

Urgent message: The critical role of rapid COVID-19 testing in keeping Americans working presents a unique, time-limited opportunity for urgent care centers to develop relationships with local employers. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care Online news magazine Vox recently reported data from the Urgent Care Association that urgent care centers were performing 725,000 tests per week as of late October, which amounted to 10% of the nation’s total …

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The COVID-19 Pandemic Is Making Burnout Worse for Physicians Already in Crisis

The COVID-19 Pandemic Is Making Burnout Worse for Physicians Already in Crisis

Urgent message: For several years, JUCM has reported on the national crisis of “provider burnout.” New data related to the COVID-19 pandemic indicate a need to revisit the topic. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. No part of the world has been left untouched by the COVID-19 pandemic. Currently, many urgent care centers are in crisis …

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The Role of Aseptic Technique During Repair of Traumatic Lacerations in the Urgent Care Center

The Role of Aseptic Technique During Repair of Traumatic Lacerations in the Urgent Care Center

Urgent message: The goal for urgent care clinicians tasked with treating patients presenting with traumatic lacerations is rapid and cosmetic resolution of the injury. Using aseptic technique while repairing traumatic lacerations will minimize the risks of infections. INTRODUCTION Myriad advances in wound repair have emerged since the pioneer of antiseptic medicine, British surgeon Joseph Lister, transformed the field of surgery by incorporating his research in bacteriology and wound infections to improve patient outcomes. Today large …

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