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Can I read Quality Initiative for the Administration of Vancomycin Prophylaxis in Penicillin-Allergic Neurosurgery Patients on EtoBox?
Quality Initiative for the Administration of Vancomycin Prophylaxis in Penicillin-Allergic Neurosurgery Patients by Austin J Borja; Nikhil Sharma; Olivia Amendolia; Jennifer Cimoch; Danielle Callahan; Jennifer Durkan; Nicole Hoke; Eileen Maloney; M. Sean Grady; Neil R Malhotra is a Medicine article available to read on EtoBox.
What is Quality Initiative for the Administration of Vancomycin Prophylaxis in Penicillin-Allergic Neurosurgery Patients about?
Introduction Vancomycin may be used as an alternative perioperative antibiotic for penicillin-allergic patients but follows a different infusion timing. At the institution presented herein, noncompliance with recommended vancomycin infusion timing has been hypothesized to contribute toward increased risk of surgical site infections and avoidable expenditures. The objective of this project was to utilize the Performance Improvement In Action methodology to identify, address, and solve the problem of vancomycin administration timing. Methodology This study took place at a multi-hospital, urban academic medical center. The protocol was developed by neurosurgery and anesthesia faculty, advanced practice providers, nursing, and pharmacy. Timing of the following points was recorded: initial order, order release, pharmacy verification, vancomycin infusion, and surgical incision. Fifty consecutive penicillin-allergic patients undergoing neurosurgical intervention were prospectively enrolled. Data comparison was made between the pilot and retrospective review cohorts. Results The pilot cohort achieved correct administration of vancomycin in 100% of cases. Average infusion start time prior t
Who reads Quality Initiative for the Administration of Vancomycin Prophylaxis in Penicillin-Allergic Neurosurgery Patients?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Austin J Borja; Nikhil Sharma; Olivia Amendolia; Jennifer Cimoch; Danielle Callahan; Jennifer Durkan; Nicole Hoke; Eileen Maloney; M. Sean Grady; Neil R Malhotra
- Publisher
- Cureus, Inc.
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)