Publications by authors named "Sharisse Arnold-Rehring"
Objective: To assess whether a two-phase intervention was associated with improvements in antibiotic prescribing among nonhospitalized children with community-acquired pneumonia.
Study Design: In a large health care organization, a first intervention phase was implemented in September 2020 directed at antibiotic choice and duration for children 2 months through 17 years of age with pneumonia. Activities included clinician education and implementation of a pneumonia-specific order set in the electronic health record.
Educational Challenge: As technological advancements challenge the current roles healthcare workers fill, curiosity and lifelong learning are becoming increasingly important. However, descriptions of specific curricular interventions that successfully develop these attitudes and skills remain limited.
Proposed Solution: We aimed to promote curiosity and advance practical application of evidenced-based medicine through a longitudinal, gamified learning activity within a longitudinal integrated clerkship (LIC).
Objective: To determine whether a multicomponent intervention focused on early peanut introduction was associated with a lower peanut allergy incidence in young children.
Methods: The study cohort comprised all children born January 1, 2013 through December 31, 2018 receiving care at a large health care organization. Intervention activities occurred over 16 months and included provider educational programs, electronic health record tools, and new patient instructions.
Article Synopsis
- Continuing medical education (CME) programs assess how committed healthcare professionals are to changing their practices, but there’s limited evidence on whether this commitment leads to actual changes in behavior.
- In a study focused on promoting proper antibiotic use for children with urinary tract infections (UTIs) through CME and updates to electronic health records, researchers evaluated participants' commitments and their prescribing habits over time.
- Results showed that clinicians who explicitly committed to changing their antibiotic prescriptions not only reported making those changes but also demonstrated significant improvements in prescribing practices, indicating that self-commitment can positively influence clinical behavior.
Objectives: To determine if a multicomponent intervention was associated with increased use of first-line antibiotics (cephalexin or sulfamethoxazole and trimethoprim) among children with uncomplicated urinary tract infections (UTIs) in outpatient settings.
Methods: The study was conducted at Kaiser Permanente Colorado, a large health care organization with ∼127 000 members <18 years of age. After conducting a gap analysis, an intervention was developed to target key drivers of antibiotic prescribing for pediatric UTIs.
Objective: Clinical specialty societies recommend long-acting reversible contraceptives (LARCs) as first-line contraception for adolescent women. We evaluated whether a combined educational and process improvement intervention enhanced LARC placement in primary care within an integrated health care system.
Methods: The intervention included journal clubs, live continuing education, point-of-care guidelines, and new patient materials.