Journal of Urgent Care Medicine

Development of a Positive Urinalysis Criteria Using a Machine Learning Approach

Urgent Message: There are no consensus definitions for what defines a “positive” urinalysis in the pediatric population. This secondary analysis of data from a quality improvement project in a network of pediatric urgent care centers used a machine learning approach to determine which variables on urinalysis most strongly predict a subsequently positive urine culture. Kari Flicker, BS; Jessica Parrott, DNP, CPNP-PC, CNE; Tammy Speerhas, DNP, FNP-C; Turaj Vazifedan, DHSc; Theresa Guins, MD; Jeffrey Bobrowitz, MD; …

Development and Implementation of a Headache and Migraine Pathway in Pediatric Urgent Care: A Quality Improvement Initiative

Urgent Message: There are an estimated 250,000 visits annually associated with pediatric headaches in the United States, 84% of which are not treated according to best evidence-based practice (EBP). The development of an EBP headache and migraine pathway in a pediatric urgent care improved access to evidence-based guidelines and increased clinician confidence and knowledge regarding the diagnosis and management of headaches in children. Sarah J. Nembu, DNP, APRN, FNP-C, CPNP-AC; Melissa R. Penkalski, DNP, APRN, …

Urgent Care For Kids Deal Adds 11 Locations

Urgent Care for Kids in Houston, Texas, this week announced the acquisition of 11 Pediatrix Medical Group Primary + Urgent Care clinics, formerly operating under the NightLight Pediatrics Urgent Care brand. Since its establishment in 2011, Urgent Care for Kids has offered traditional urgent care as well as telehealth services, and with the acquisition, brings its total number of clinic locations to 23. Portfolio peek: Urgent Care for Kids is a subsidiary of Goodside Health, …

Fast Track Improves Patient Flow and Wait Times in the Pediatric Urgent Care: A Quality Improvement Project

Urgent Message: Fast trackmodels aim to improve patient throughput metrics for low-acuity patients. In this quality improvement project, a process for fast track in the pediatric urgent care significantly improved patient flow. Hayley L. Ross, MD; Sandra P. Spencer, MD; Traci Ertle, MSN, RN, CPEN; Anthony Watkins, MSN, RN, NE-BC; Mark Feldman, MD; Derrek Massanari, MD, MPH; Bernadette Johnson, MD; Alexandria J. Wiersma, MD Citation: Ross HL, Spencer SP, Ertle T, Watkins A, Feldman M, …

CDC: More Kids Visited Urgent Care in 2022

More parents are bringing their kids to urgent care, according to new national trend data captured in a survey by the Centers for Disease Control and Prevention (CDC). The percentage of children and adolescents (17 years old and younger) who had at least 1 visit to an urgent care center or a retail clinic in the past 12 months increased from 21.6% in 2021 to 28.4% in 2022. When CDC broke down the data into …

A Novel Pediatric Resuscitation Course Designed for the Urgent Care Setting

Urgent message: Urgent care centers play a vital role as a gateway into the health system for many children with acute care needs. Some of these needs require identification by the urgent care team, who may then need to stabilize the patient and initiate transfer to optimize clinical outcomes. Nikhil B. Shah, MD INTRODUCTION Pediatric office emergencies can be challenging for urgent care staff to manage. These high-stakes events do not occur frequently enough to …

A Consolidation of Signs of Symptoms of Pediatric Pneumonia

Urgent message: While pneumonia in general continues to be a common diagnosis in children in the United States, relatively few studies have sought to determine the signs and symptoms that help to predict occult bacterial pneumonia. Awareness of associated signs and symptoms may assist the urgent care provider in proceeding more quickly to a correct diagnosis. Alyssa Whited, PA-C and Christina Gardner, PA-C CASE PRESENTATION A 5-year-old male with no significant past medical history presented …

Retrospective Study on the Impact of Increased Value-Add Time on Patient Experience in Pediatric Urgent Care Centers

Urgent message: Increase in the proportion of value-add time during an encounter was associated with an increased rate of positive perceptions of timeliness and overall patient experience in pediatric urgent care centers. Aimy Patel, MD; Brian R. Lee, MPH, PhD; Amanda Montalbano, MD, MPH; and Amanda Nedved, MD Citation: Patel A, Lee BR, Montalbano A, Nedved A. Retrospective study on the impact of increased value-add time on patient experience in pediatric urgent care centers. J …

A Comparison of Chief Complaints, Specific Diagnoses, and Demographics of Pediatric Urgent Care Visits Before and During the COVID- 19 Pandemic: A Retrospective Study

Zaharoula A. Viennas, MD; Julie Martin, MAEd, MMS, PA-C; Benjamin Klick, MD; Tammy Speerhas, DNP, FNP-C, RN, CEN, CME; Turaj Vazifedan, DHSc; Danielle Millspaugh, DNP, FNP-C; Jennifer Ferris, MD; Margret Bedle, MD; Lauren Paluch, DMSc, PA-C; and Theresa Guins, MD Urgent message: Research has shown distinct differences in patterns of children presenting to emergency rooms during COVID-related lockdowns. However, data specific to urgent care have been lacking previously. Citation: Viennas ZA, Martin J, Klick B, …

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