Original Research| Volume 19, ISSUE 3, 104528, March 2023

Quality Improvement Project for Antibiotic Stewardship in Urgent Care

Published:February 02, 2023DOI:


      • An antibiotic stewardship bundle was implemented, consisting of displaying public commitment posters, installing evidence-based guidelines and clinical algorithms by computers, initiating a watchful waiting protocol with phone follow-up within 1 to 3 days, creating smart phrases and templates for common viral diagnoses, using delayed prescribing and symptom relief prescription pads, and conducting communication training
      • The percent of inappropriate antibiotic prescriptions had a statistically significant decrease from 54.7% to 35.4% (P = 0.0006).
      • Across all results pre- and post-intervention, bronchitis was the most frequent diagnosis to receive an inappropriate antibiotic prescription.


      Overprescribing antibiotics is currently a major issue in the outpatient setting. Inappropriate antibiotic prescriptions are leading to costly adverse effects, including antibiotic resistance. Antibiotic stewardship interventions are adaptable tools that are readily available to prescribers to reduce the overuse of antibiotic prescriptions. The purpose of this project was to implement an Antibiotic Stewardship Bundle in an urgent care clinic. The overall aims of this project were to decrease the amount of unnecessary antibiotics prescribed and increase best prescribing practice. The results of the quality improvement project showed inappropriate antibiotic prescription rates decreased from 54.7% to 35.4% (P = 0.0006).


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      Kelsey Bivacca, DNP, FNP-BC, is an alumna of the University of South Florida, Tampa, FL and can be contacted at [email protected]


      Catherine Nadeau, DNP, FNP-BC,CNE, is an assistant professor at the University of South Florida, Tampa, FL.