A comprehensive approach to achieving near 100% compliance with the Joint Commission Core Measures for pneumonia antibiotic timing

The American Journal of Emergency Medicine
Peter M HillGabor D Kelen

Abstract

Adherence to The Joint Commission (TJC) Core Measures benchmarks is required for hospital accreditation, and data are publicly reported as an indication of hospital quality. Published approaches to date for adhering to the pneumonia antibiotic timing (PN5c) Core Measure have shown moderate to limited success in reaching high levels of compliance. The objective of the study was to evaluate the effectiveness of a 3-phased intervention directed at improving compliance with TJC pneumonia antibiotic administration within the 6-hour requirement (PN5c) in an academic urban emergency department. A 3-phase interventional study with retrospective analysis of contemporaneous data collection during a 57-month period ending September 2009 was performed. Phase 0 was baseline, phase 1 was physician evaluation at triage, phase 2 was implementation of a specific pneumonia screening tool and pathway, and phase 3 was implementation of an emergency department electronic medical record system that facilitates removing subjects with "diagnostic uncertainty" from consideration. Main outcome measure was the proportion of patients receiving antibiotics within 6 hours among those meeting PN5c criteria. Mean times to antibiotics and percentage of complia...Continue Reading

References

Mar 24, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R C WuerzN Gilboy
Feb 13, 2003·Archives of Internal Medicine·Laurie Anne ChuScott R Weingarten
Sep 17, 2004·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Joseph P WeingartenChris Przybyszewski
Mar 1, 2005·Current Opinion in Infectious Diseases·Peter M Houck, Dale W Bratzler
Jun 13, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M Pines
Jun 13, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesJoshua P Metlay
Jul 11, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesJudd E Hollander
Nov 30, 2006·Psychology, Health & Medicine·UNKNOWN The National Institute Of Mental Health Multisite HIV Prevention Trial Group
Feb 6, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lionel A MandellUNKNOWN American Thoracic Society
Apr 12, 2007·Quality Management in Health Care·Douglas E DrakeJeffrey Cohn
Apr 25, 2007·Emergency Medicine Journal : EMJ·Ambreen KhalilRichard E Rothman
May 2, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesJoshua P Metlay
Feb 27, 2008·Archives of Internal Medicine·James A WelkerJack D McCue
Jan 13, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Bret A NicksMichael T Fitch
Mar 13, 2009·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·A H W BrunsA I M Hoepelman
Jun 23, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Scott G WeinerCheryl A Webber

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Citations

Feb 4, 2014·The Nursing Clinics of North America·Amanda Green, Lacey Buckler
Jan 12, 2013·Pharmacotherapy·Tina M KhademJack Brown
Aug 25, 2015·The American Journal of Emergency Medicine·R Le Grand RogersEdward R Melnick
May 21, 2016·The International Journal of Pharmacy Practice·Kathrin CresswellAziz Sheikh
Mar 11, 2015·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Anita HoDavid Unger
Aug 1, 2013·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Nicholas J ConnorsRobert S Hoffman

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