Improving epinephrine autoinjector usability and carriage frequency among patients at risk of anaphylaxis: a quality improvement initiative

BMJ Open Quality

article

Ahdad Ziyar¹  Jimmy Kwon²  Arthur Li³  Asal Naderi⁴  Tiffany Jean¹ 

[1] Division of Basic and Clinical Immunology , University of California Irvine;Department of Statistics , University of California Irvine;Johns Hopkins University;Department of Medicine , University of Southern California

关键词: Quality improvement;    Quality improvement methodologies;    Healthcare quality improvement;    Patient education;   

DOI  :  10.1136/bmjoq-2021-001742

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Although epinephrine autoinjectors (EAIs) are crucial for the management of anaphylaxis, patient carriage frequency of EAI is as low as 57% and usage of EAIs is erroneous 35%–43% of the time. Our objective was to improve patient carrying frequency of EAI and understanding of EAI usage.We implemented a quality improvement initiative using consistent closed-loop education, redesigned clinic workflow, electronic medical record reminder-based interventions, and educational materials to improve patient EAI carriage compliance and understanding of EAI indications and proper technique.The percentage of our patients who carried the EAI at all times increased from 55% to 93% in 6 months. Participants knowledge of EAI indications also improved from 22% to 91%. Patient demonstration scores of the EAI device improved from 21% to 91% as well.80% in EAI carriage frequency, knowledge of indications, and proper device technique.Quality improvementQuality improvement methodologiesHealthcare quality improvementPatient educationData availability statementAll data relevant to the study are included in the article or uploaded as supplementary information.http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND