Not prescribing and antibiotic takes time! We have all said it, but how much time does it really take?? Prior to opening this thread, comment with your guess... http://annals.org/aim/fullarticle/2705709/antibiotic-prescribing-respiratory-tract-infections-encounter-length-observational-study-telemedicine …
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telemedicine encounters for patients diagnosed with RTIs between January 2013 and August 2016.
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Encounter length was defined as the time that the patient was connected to and interacted with the physician
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In total 13 438 encounters, 49% of which were for sinusitis, 14% for pharyngitis, 12% for bronchitis, and 25% for other RTIs.
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I think the break down was pretty consistent to what I see 'antibiotics in 67% of encounters, nonantibiotics in 13%, and nothing in 20%. Rates for prescribing antibiotics ranged from 91% for sinusitis to 15% for other RTIs'
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But the results!? shocking! 'The mean unadjusted encounter length was 6.6 minutes when antibiotics were prescribed, 8.0 minutes when nonantibiotics were prescribed, and 7.5 minutes when nothing was prescribed.'
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I had to read it two or three time and 'adjusted model (Table 2), encounters resulting in nothing being prescribed were 0.33 minutes longer than those resulting in antibiotic prescriptions (95% CI, 0.13 to 0.53 minutes)'
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If you adjust or you don't adjust we are looking at roughly 30seconds to 1 extra minute per pt. for a practice that I think we all would agree is better for the pt.....
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looks like the 'it takes too much time' excuse should go with my left over molded cheese-- in the trash
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I take the time for this and other issues but 15% longer time, not including documentation is not insignificant multiplied x 20 throughout your shifts and career. I like to tell myself I do a better job but it doesn’t feel good to see coworkers sign out so much earlier.
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Replying to @grepmeded
I’d argue with dot phrase insertions on EMR that time is easily made up
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Replying to @AndrewBuelt
No doubt this is a worthy investment I just take issue with the “its only 1 extra minute” to do A, B, C... X, Y, Z sentiment constantly thrown on physician shoulders that leads to burnout via a thousand papercuts. It’s the right thing to do but the time investment is not minor.
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