excluded. Our action plan included: 1. adding antibiotic discussions in pre-CD huddle and labor and delivery morning report; 2. working with pharmacy to ensure all antibiotics are immediately available; 3. emphasizing antibiotic administration in pre-induction anesthesia timeout; and 4. ensuring best performance with ongoing team education. We performed a biweekly review of CD antibiotic reports to identify missed opportunities and remediate causes.
RESULTS:From January 1 to September 30, 2021, there were 329 non-emergent CDs. After interventions, the overall OTAA rate increased from 89.2% to 92.7%. All subgroups also improved, African American from 86.6% to 89.9% (10 of 99), Latina from 86.0% to 94.8% (5 of 97), and White from 92.1% to 92.9% (7 of 98).CONCLUSION: Our structured multidisciplinary approach to improving OTAA both improved overall performance in antibiotic administration and mitigated the racial disparity originally seen.
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