Publications by authors named "C Elwood"

Background: Many clinicians feel uncomfortable with de-labelling penicillin allergies despite ample safety data. Point of care tools effectively support providers with de-labelling. This study's objective was to increase the number of providers intending to pursue a penicillin oral challenge by 15% by February 2023.

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Article Synopsis
  • Penicillin allergies often lead to unnecessary treatment delays, as many reported allergies are not true allergies; efficient tools are needed to identify low-risk patients for safe de-labeling.
  • The FIRSTLINE electronic decision support tool was implemented to help clinicians assess and stratify penicillin allergy risk among pregnant women in Vancouver, with a focus on its reliability compared to allergist evaluations and other tools like JAMA and PENFAST.
  • Results showed that 97.2% of 181 patients were not allergic, and FIRSTLINE effectively identified a high percentage of low-risk patients, emphasizing the value of clinical algorithms in improving patient care.
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Students graduating from professional healthcare programs are expected to demonstrate competence in their area of study to enter the workforce and immediately start working with people. High expectations and a fast-paced environment are typical aspects of these professional positions and often result in higher rates of burnout, compassion fatigue, and lack of empathy, leading to an overall decrease in patient satisfaction. As a result, patients who face difficult situations may often feel as though their needs are not being addressed.

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Introduction: While 10% of pregnant individuals report a penicillin allergy, there is no established best practice for penicillin allergy delabeling in pregnancy. To better understand options for penicillin delabeling, we aimed to evaluate two penicillin allergy delabeling protocols in pregnancy regarding efficacy, adverse events, and patient satisfaction.

Material And Methods: From July 2019 to December 2022, we completed a two-center prospective cohort study, where each site recruited pregnant patients over 24 weeks gestational age with a reported penicillin allergy.

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