About: Evaluation of a programme for ‘Rapid Assessment of Febrile Travelers’ (RAFT): a clinic-based quality improvement initiative

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About: Evaluation of a programme for ‘Rapid Assessment of Febrile Travelers’ (RAFT): a clinic-based quality improvement initiative Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Evaluation of a programme for ‘Rapid Assessment of Febrile Travelers’ (RAFT): a clinic-based quality improvement initiative
Creator	Ovens, Howard Jazuli, Farah Jechel, Dale Klowak, Michael Klowak, Stefanie Lynd, Terence Mah, Jordan Sabbah, Sam Boggild, Andrea
Source	Medline; PMC
abstract	BACKGROUND: Fever in the returned traveller is a potential medical emergency warranting prompt attention to exclude life-threatening illnesses. However, prolonged evaluation in the emergency department (ED) may not be required for all patients. As a quality improvement initiative, we implemented an algorithm for rapid assessment of febrile travelers (RAFT) in an ambulatory setting. METHODS: Criteria for RAFT referral include: presentation to the ED, reported fever and travel to the tropics or subtropics within the past year. Exclusion criteria include Plasmodium falciparum malaria, and fulfilment of admission criteria such as unstable vital signs or significant laboratory derangements. We performed a time series analysis preimplementation and postimplementation, with primary outcome of wait time to tropical medicine consultation. Secondary outcomes included number of ED visits averted for repeat malaria testing, and algorithm adherence. RESULTS: From February 2014 to December 2015, 154 patients were seen in the RAFT clinic: 68 men and 86 women. Median age was 36 years (range 16–78 years). Mean time to RAFT clinic assessment was 1.2±0.07 days (range 0–4 days) postimplementation, compared to 5.4±1.8 days (range 0–26 days) prior to implementation (p<0.0001). The RAFT clinic averted 132 repeat malaria screens in the ED over the study period (average 6 per month). Common diagnoses were: traveller's diarrhoea (n=27, 17.5%), dengue (n=12, 8%), viral upper respiratory tract infection (n=11, 7%), chikungunya (n=10, 6.5%), laboratory-confirmed influenza (n=8, 5%) and lobar pneumonia (n=8, 5%). CONCLUSIONS: In addition to provision of more timely care to ambulatory febrile returned travellers, we reduced ED bed-usage by providing an alternate setting for follow-up malaria screening, and treatment of infectious diseases manageable in an outpatient setting, but requiring specific therapy.
has issue date	2016-07-29(xsd:dateTime)
bibo:doi	10.1136/bmjopen-2015-010302
bibo:pmid	27473947
has license	cc-by-nc
sha1sum (hex)	61d252869a226c4393e4637cb90fa3b4df082ae3
schema:url	https://doi.org/10.1136/bmjopen-2015-010302
resource representing a document's title	Evaluation of a programme for ‘Rapid Assessment of Febrile Travelers’ (RAFT): a clinic-based quality improvement initiative
has PubMed Central identifier	PMC4985841
has PubMed identifier	27473947
schema:publication	BMJ Open
resource representing a document's body	covid:61d252869a226c4393e4637cb90fa3b4df082ae3#body_text
is schema:about of	named entity 'TRAVELERS' named entity 'programme' named entity 'FEBRILE' named entity 'ASSESSMENT' named entity 'BASED' named entity 'EVALUATION' named entity 'INITIATIVE' named entity 'CLINIC' named entity 'PROGRAMME' named entity 'QUALITY IMPROVEMENT' named entity 'quality improvement' named entity 'urinalysis' named entity 'Ebola' named entity 'chlamydia infection' named entity 'aetiological' named entity 'musculoskeletal' named entity 'STIs' named entity 'febrile' named entity 'nasopharyngeal' named entity 'Febrile' named entity 'Canadian' named entity 'URTI' named entity 'Fever' named entity 'malaria' named entity 'North America' named entity 'outpatient setting' named entity 'nasopharyngeal' named entity 'Mount Sinai Hospital' named entity 'Infectious Diseases' named entity 'non-specific' named entity 'fever' named entity 'aetiological' named entity 'asymptomatic bacteriuria' named entity 'complete blood count' named entity 'aetiological' named entity 'traveller's diarrhoea' named entity 'medical emergency' named entity 'diagnostic tests' named entity 'Data sharing' named entity 'travellers' diarrhoea' named entity 'malaria' named entity 'family physicians' named entity 'hepatic' named entity 'blood work' named entity 'diarrhoea' named entity 'Middle East Respiratory syndrome' named entity 'EVD' named entity 'UHN' named entity 'vector-borne' named entity '21 days' named entity 'blood work' named entity 'antimicrobial stewardship' named entity 'febrile' named entity 'P. falciparum' named entity 'volume depletion' named entity 'medical emergency' named entity 'malaria' named entity 'general medicine' named entity 'febrile' named entity 'fever' named entity 'febrile' named entity 'febrile' named entity 'Ethics' named entity 'vital signs' named entity 'Tropical Medicine' named entity 'RAFT' named entity 'gastrointestinal' named entity 'typhoid fever' named entity 'influenza' named entity 'jaundice' named entity 'leptospirosis' named entity 'Mount Sinai Hospital' named entity 'hyperbilirubinaemia'

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