Choosing Wisely Interventions to Reduce Antibiotic Overuse in the Safety Net
Go to source).
Antibiotic Prescriptions Abuse
Approximately 25% to 50% of all antibiotic prescriptions in the U.S are inappropriate. This can lead to the growth of antibiotic-resistant bacteria and other direct harms that cause more than 35,000 excess deaths per year in the U.S. Many health systems have participated in pay-for-performance interventions to reduce inappropriate antibiotic prescriptions, but these types of interventions are infrequently studied in safety net systems. This is important because pay-for-performance models to improve healthcare quality have a history of working poorly in safety net systems, thus having disparate effects on disadvantaged patients. Choosing Wisely, launched in 2012 by the American Board of Internal Medicine Foundation, is an initiative aimed at reducing the use of unnecessary medical services and improving patient outcomes.
Antibiotics - Use and Abuse
Antibiotics are among the most used and abused medications. This article explains some general features about antibiotics.
Antibiotics are among the most used and abused medications. This article explains some general features about antibiotics.
‘Behavioral programs were found to decrease antibiotic overuse for treating respiratory disorders. #antibioticoveruse’
Tweet it Now
In 2015, the Los Angeles County Department of Health Services participated in a statewide pay-for-performance program, and one of the target areas was inappropriate antibiotic prescriptions for acute bronchitis, according to Choosing Wisely guidelines. The researchers conducted a non-randomized trial at LA General Medical Center (formerly Los Angeles County+University of Southern California) and Olive View-UCLA medical centers, two academic safety net hospitals in Los Angeles.
Backed by a statewide pay-for-performance program, they used interventions consisting of audit and feedback; clinician education; suggested alternatives; procalcitonin, a test to diagnose lower respiratory tract infections; and public commitment. These interventions were based on the Choosing Wisely campaign to reduce inappropriate antibiotic use for respiratory tract infections that are typically viral (and thus don’t need antibiotics). The researchers also assessed for several unintended consequences from the intervention, such as inappropriately withholding antibiotics.
Acute Respiratory Distress Syndrome - Causes Diagnosis Treatment Complications FAQ
ARDS is a lung condition where the patient suffers from sudden breathlessness, low blood oxygen levels and lung inflammation that could progress to respiratory failure.
ARDS is a lung condition where the patient suffers from sudden breathlessness, low blood oxygen levels and lung inflammation that could progress to respiratory failure.
“This has important implications for responsible antibiotic use for the tens of millions of patients served by U.S. safety net health systems each year, and also represents an important advancement in health equity by ensuring that our newest medical practices actually lead to improvements in health for all communities in the U.S.”
Advertisement
Quiz on Antibiotics
Your doctor may suggest antibiotics at the first sight of an infection, but how much do you really know about these wonder drugs? Test yourself.
Your doctor may suggest antibiotics at the first sight of an infection, but how much do you really know about these wonder drugs? Test yourself.
- Choosing Wisely Interventions to Reduce Antibiotic Overuse in the Safety Net - (https://www.ajmc.com/view/choosing-wisely-interventions-to-reduce-antibiotic-overuse-in-the-safety-net)
The Lungs
The lungs are our organs of respiration. It is within these, that exchange of gases takes place.
The lungs are our organs of respiration. It is within these, that exchange of gases takes place.
