Perception and attitudes towards mental illness among volunteer health advisors in Nigeria

at a local urgent care center has contributed to the variance in prescribing habits among providers for these diagnoses.Aims: This project aims to decrease use of antibiotics in the treatment of URIs by 10% and to attain an 80% utilization rate of developed company practice guidelines for URIs for this urgent care practice.Structure/Method/Design: Based on a comprehensive systematic review of the literature, multimodal strategies combining provider education, clinical pathway algorithms, and patient education have demonstrated success in increasing provider compliance with evidence based practice guidelines for URIs in outpatient settings.The goals of this project are to design, implement and evaluate evidence based guidelines, and to promote the judicious use of antibiotics when managing URIs in the urgent care setting.Participants and Stakeholders: As a result of weekly chart reviews conducted by the Clinical and Medical Directors demonstrating variance in treatment practices, the Medical Director agreed an intervention was necessary.With her support, the project was proposed to the full time providers who voluntarily agreed to participant.Capacity/ Sustainability: Using a consensus model, the providers have been recruited to collectively review, develop and evaluate treatment guidelines for URIs in our setting.These guidelines will be incorporated into company policy for use along with confidential prescriber feedback and audit, and ongoing patient education.Outcomes & Evaluation: To date evidence based guidelines for URIs including sinusitis and bronchitis have been reviewed and adopted.Patient education encompassing the Get Smart, Know When Antibiotics Work campaign by the CDC within the centers and community has commenced.An eIRB application has been filed with the Johns Hopkins University School of Medicine which is under review.Upon approval, data collection will begin.Going Forward: Ongoing challenges include provider prescribing habits and patient requests/expectations for antibiotics for URI diagnosis.Until data collection begins, evaluation of data cannot occur.If this project is successful, the project team can use this method to develop evidence based treatment protocols for additional diagnoses common to the urgent care environment.

Abstract licence: CC BY-NC-ND

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