Overcoming challenges to removing inappropriate penicillin allergy labels: A quality improvement report

Risa N Fuller; Mary Grace Baker; Mauli B Desai; Patricia L Saunders-Hao; Shradha Agarwal; Gopi Patel; Saloni Agrawal; Sarah H Schaefer

doi:10.1017/ash.2021.171

Overcoming challenges to removing inappropriate penicillin allergy labels: A quality improvement report

Antimicrob Steward Healthc Epidemiol. 2021 Jul 12;1(1):e9. doi: 10.1017/ash.2021.171. eCollection 2021.

Authors

Risa N Fuller¹, Mary Grace Baker², Mauli B Desai², Patricia L Saunders-Hao³, Shradha Agarwal², Gopi Patel¹, Saloni Agrawal⁴, Sarah H Schaefer¹

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
² Division of Allergy/Immunology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
³ Department of Pharmacy, North Shore University Hospital, Manhasset, New York.
⁴ Icahn School of Medicine at Mount Sinai, New York, New York.

Abstract

Over 3 months, we provided monthly education to internal medicine residents and distributed resources regarding penicillin-allergy history taking. Allergy information in the electronic record was updated more often during the intervention compared to the period before the intervention (16.1% vs 10.9%; P = .02). Education and interdepartmental collaboration have the potential to affect provider behavior.

Keywords: Antimicrobial stewardship; Penicillin allergy; Quality Improvement.