Abstract
Objective
: To remove inaccurate penicillin allergy labels in the general pediatric clinic setting.
Methods
: From October 2017 through December 2021, this collaborative, quality improvement
project used education, feedback, electronic health record alerts, and the introduction
of oral amoxicillin challenges in a general pediatric clinic setting with the primary
aim of decreasing the proportion of penicillin allergy labeled patients. Control charts
were used to track the relationship between interventions and improvements in referral
rates to allergy clinic, removal of the allergy label at clinic visits and the overall
proportion of clinic patients labeled as PCN allergic.
Results
: Referral rates to allergy clinic for penicillin allergy labeled patients increased
from a baseline mean of 1.9% to 20.4%. The proportion of PCN allergy labeled patients
who had the label removed during a pediatric clinic visit increased from a baseline
of 1.1% to 6.6%. The overall proportion of penicillin allergy labeled clinic patients
decreased from a baseline of 3.4% to 2.2%.
Conclusion
: With adequate education and collaboration with allergists, general pediatric practitioners
can play a significant role in removing inaccurate penicillin allergy labels. Pediatricians
can remove some of the burden placed on allergists by evaluating low risk patients
in the primary care setting while referring higher risk patients to the specialist.
Key Words
Abbreviations:
PCN ((penicillin)), QI ((quality improvement)), IT ((information technology)), KDD ((key driver diagram)), EHR ((electronic health record)), DPT ((drug provocation challenge)), BPA ((best practice alert)), SMART ((specific, measurable, achievable, realistic, and time-bound))To read this article in full you will need to make a payment
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Article Info
Publication History
Accepted:
May 23,
2022
Received:
March 30,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
Copyright © 2022 by Academic Pediatric Association