Oral antibiotics at discharge for children with acute osteomyelitis: a rapid cycle improvement project.

ABSTRACT:

Background

Substantial evidence demonstrates comparable cure rates for oral versus intravenous therapy for routine osteomyelitis. Evidence adoption is often slow and in our centre virtually all patients with osteomyelitis were discharged on intravenous therapy.

Objective

For patients with acute osteomyelitis admitted to the hospital medicine service, we aimed to increase the proportion of cases discharged on oral antibiotics to at least 70%.

Methods

The setting for our observational time series study was a large academic children's hospital. The model for improvement and plan-do-study-act cycles were used to test, refine and implement interventions identified through our key driver diagram. Our multifaceted intervention included a shared decision-making tool, an order

SUBMITTER: Brady PW 

PROVIDER: S-EPMC6277050 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature