• A Comparison of How Adolescent Patients and Their Parents Rate Communication by Pediatric Resident Physicians.

      Ohmart, Connor; The University of Arizona College of Medicine - Phoenix; Bhavaraju, Vasudha (The University of Arizona., 2018-04-05)
      There are unique challenges in caring for the adolescent population, including communication in a way that is effective for both the adolescents and their parents or caregivers. While we assume that both are seeking similar qualities in their resident doctor, we sought to determine if a difference exists between adolescents and their parents in the judgment of adequate physician communication. This may offer insight into what each population values most in the skill set of their provider and may guide future pediatric resident education.
    • Rapid PCR TB Testing Results in 68.5% Reduction in Unnecessary Isolation Days in Smear Positive Patients.

      Patel, Ravikumar; The University of Arizona College of Medicine - Phoenix; Saubolle, Michael (The University of Arizona., 2018-04-05)
      Acid-fast stain (AFS) of sputum smear is the standard initial test used to evaluate a patient with suspected tuberculosis (TB). Patients with positive AFS smears are normally started on TB medications and placed on TB airborne precautions during their hospital stay until the culture results are released (which can take 2-5 weeks) or patient is discharged. However, not all AFS positive smears indicate the presence of TB. Other acid fast microorganisms, especially the Non- Tuberculous Mycobacteria (NTM) can also result in AFS positive smear hence, there is a high preponderance of false-positivity for TB in smear tests. Infection with the NTM do not require medications specific for TB or airborne isolation precautions. However, due to the lack of a quick definitive TB test most AFS smear positive patients are started on TB meds and placed in airborne isolation leading to inappropriate management of patients including unnecessary isolation, possible extension of hospital stay and increased cost. This is a prospective quality improvement study. Between Nov 2016 and August 2017 a Cepheid PCR test was performed on all AFS sputum smear positive patients from the initial sputum specimen collected on hospital admission. Background data between 2014 and 2016 was also collected for comparison prior to introduction of PCR testing. Data was used to evaluate unnecessary isolation for Smear positive patients.