Publications highlight UHS' high level of care

Monday, May 29, 2017

University Health Services is committed to the highest quality of care and seeking out areas for continuous quality improvement. These efforts are largely led by our Quality& Performance Improvement department.

In December 2016, two abstracts were accepted by the Institute for Healthcare Improvement (IHI), the leading non-profit organization in global health and healthcare improvement. These studies highlight the efforts of UHS around infection control, patient safety and education:

Frisina, P., Pletcher, J., Munene, E., et al. (2016). Antibiotics Stewardship for Acute Bronchitis: A Quality Improvement (QI) Study in University Healthcare. BMJ Quality & Safety, 25: 994-995.

In an attempt to avoid over-prescription of antibiotics for acute uncomplicated bronchitis:

  • Clinicians directly provided education to their patients on viral respiratory infections, including a care plan and information on the potential harm from antibiotics.
  • Clinicians employed the term “chest-cold” for acute bronchitis in the absence of criteria indicating bacterial infection.
  • Medical providers were informed that antibiotic prescribing would be part of UHS medical peer/chart review process to drive compliance.

These efforts resulted in a significant decrease in antibiotic prescription rate from 80% to 5%.  Read more in the abstract.

Frisina, P.G., Ingraffia, S.T., Barnwell, T.R., Pletcher, J.R., Munene, M.N & Kolligian, J. (2016, December). Increasing influenza vaccine uptake among healthcare personnel through concurrent, multifaceted quality improvement (QI) strategies: A lesson from university healthcare. Poster presented at 22nd Annual International Scientific Symposium on Improving the Quality and Value of Health Care, Orlando, FL.

To protect patients from health-care associated influenza, and prevent staff absences due to illness, the best practice is annual vaccination of healthcare staff. The interventions focused on:

  • education to dispel myths;
  • increased accessibility of vaccines for staff; and
  • reminders of risk and regional surveillance flu rates.

The study reported increased vaccination rates from 68% to 93% (surpassing Healthy People 2020 goal: 90%). See the poster for full methods and results.