Improving Antibiotic Use in Urgent Care Facilities

NCT03932708 | Unknown

• 1 other identifier: 1050982
• Study Type: interventional
• Target: 700,000
• Locations: 1 country
• Sites: 1

Brief Summary

This study will implement a comprehensive outpatient stewardship program targeting a large network of Urgent Care (UC) clinics within Intermountain Helathcare.

Conditions

Antibiotic Side Effect; Behavioral Changes

Keywords

Antibiotic Stewardship; Outpatient Antibiotic Stewardship; Urgent Care

Outcome Measures

Primary Outcomes (1)

• Antibiotic prescribing for respiratory encounters measured at the encounter level

  Respiratory encounters are defined as an urgent care encounter for any ICD10 defined respiratory condition, excluding encounters with concomitant other infectious diseases codes.

  Intervention period is one year

Secondary Outcomes (3)

• Antibiotic prescribing appropriateness in respiratory encounters

  Intervention period is one year

• Diagnostic shifting

  Intervention period is one year

• Patient satisfaction

  Intervention period is one year

Study Arms (1)

Urgent Care Antibiotic Stewardship Intervention

EXPERIMENTAL

All 38 urgent care clinics will implement CDC Core Elements of outpatient antibiotic stewardship as described above.

Behavioral: CDC Core Elements of Outpatient Stewardship

Interventions

CDC Core Elements of Outpatient Stewardship BEHAVIORAL

The intervention is described above and includes components of leadership, action of policy and practice, tracking and reporting, and education and expertise.

Urgent Care Antibiotic Stewardship Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Intermountain Healthcare "InstaCare" Clinics
• Intermountain Healthcare "KidsCare" Clinics
• Intermountain Healthcare "ConnectCare"

You may not qualify if:

• Intermountain Healthcare Hospitals and Medical Centers
• All non-Intermountain Healthcare urgent care clinics

Sponsors & Collaborators

• Intermountain Health Care, Inc.: lead
• Centers for Disease Control and Prevention: collaborator

Study Sites (1)

Intermountain Medical Center

Murray, Utah, 84017, United States

RECRUITING

Study Officials

• Eddie Stenehjem, MD

  Intermountain Health Care, Inc.

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Eddie Stenehjem, MD

CONTACT

801-507-7781; eddie.stenehjem@imail.org

Carlos Barbagelata, MS

CONTACT

801-507-4607; carlos.barbagelata@imail.org

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a before/after study design. Its an implementation science project.

Study Record Dates

• First Submitted: April 18, 2019
• First Posted: May 1, 2019
• Study Start: July 1, 2019
• Primary Completion: April 23, 2023
• Study Completion: April 23, 2023
• Last Updated: March 29, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)