{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:54:20Z","timestamp":1776682460665,"version":"3.51.2"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X24001193_as1\"><jats:title>Objective:<\/jats:title><jats:p>The U.S. Centers for Disease Control and Prevention encourages nurses to evaluate penicillin allergies as part of hospital-based antibiotic stewardship programs. We evaluated the feasibility of an implementation strategy to improve nurses\u2019 comprehensive documentation of penicillin allergies. We defined feasibility as the uptake and acceptability of documentation procedures.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X24001193_as2\"><jats:title>Design:<\/jats:title><jats:p>Six-month pre-post feasibility implementation study.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X24001193_as3\"><jats:title>Setting:<\/jats:title><jats:p>Outpatient surgical areas of an academic medical center located in the U.S.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X24001193_as4\"><jats:title>Intervention:<\/jats:title><jats:p>The implementation strategy was guided by the Capability, Opportunity, Motivation Model for Behavior Change and included, building an interdisciplinary coalition to iteratively evaluate the implementation effort, educational meetings with surgical prescribers and perioperative nurses, the development and distribution of educational pocket cards, and structured communication messages in the electronic medical record.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X24001193_as5\"><jats:title>Results:<\/jats:title><jats:p>A total of 426 patients with 487 penicillin allergy records (216 records pre-implementation period, 271 records post-implementation period) were analyzed. Penicillin allergy documentation contained the following information in the pre- versus post-implementation period: symptoms of the reaction (87% vs 87%), timing\/years since reaction (8% vs 26%), onset of reaction in relation to taking penicillin (0% vs 21%), how symptoms resolved (0% vs 21%), and penicillin re-exposure (3% vs 21%). Focus groups revealed nurses perceived documentation procedures as highly acceptable. Major drivers of acceptability included the perceived effectiveness of a detailed allergy history and self-efficacy in conducting a detailed allergy history.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X24001193_as6\"><jats:title>Conclusions:<\/jats:title><jats:p>Nurses perceived the comprehensive documentation of penicillin allergy history intervention as acceptable, and uptake improved following a theory-informed implementation strategy. We offer implementation strategy components to facilitate nurses\u2019 engagement in penicillin allergy evaluation.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2024.119","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T07:12:23Z","timestamp":1730272343000},"page":"1455-1461","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Multifaceted implementation strategy to improve the evaluation of penicillin allergies in perioperative patients: a pre-post feasibility implementation study"],"prefix":"10.1017","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5629-8892","authenticated-orcid":false,"given":"Eileen J.","family":"Carter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Zavez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Schramm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meagan M.","family":"Zolla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katelyn","family":"Baron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4429-7750","authenticated-orcid":false,"given":"David B.","family":"Banach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"S0899823X24001193_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"S0899823X24001193_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/ash.2022.55"},{"key":"S0899823X24001193_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2024.01.010"},{"key":"S0899823X24001193_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2023.03.056"},{"key":"S0899823X24001193_ref36","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-017-0574-8"},{"key":"S0899823X24001193_ref31","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.0403"},{"key":"S0899823X24001193_ref21","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917733847"},{"key":"S0899823X24001193_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32218-9"},{"key":"S0899823X24001193_ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1807761"},{"key":"S0899823X24001193_ref25","first-page":"147","article-title":"Improving antibiotic stewardship for inpatients with reported beta-lactam allergies and limited access to penicillin skin testing","volume":"48","author":"Berger","year":"2022","journal-title":"Jt Comm J Qual Patient 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of a nursing algorithm for penicillin allergy documentation in the inpatient setting","volume":"41","author":"Cosgrove","year":"2020","journal-title":"Infect Control Hosp Epidemiol"},{"key":"S0899823X24001193_ref35","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-022-06400-y"},{"key":"S0899823X24001193_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix794"},{"key":"S0899823X24001193_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316654870"},{"key":"S0899823X24001193_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2017.255"},{"key":"S0899823X24001193_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0209-1"},{"key":"S0899823X24001193_ref28","first-page":"84","article-title":"The critical role of the staff nurse in antimicrobial stewardship\u2014unrecognized, but already there","volume":"62","author":"Olans","year":"2015","journal-title":"Clin Infect 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Centers for Disease Control and Prevention. Core Elements of Hospital Antibiotic Stewardship Programs. Atlanta, GA: US Department of Health and Human Services, CDC; 2019. https:\/\/www.cdc.gov\/antibiotic-use\/core-elements\/hospital.html. Accessed January 22, 2024."},{"key":"S0899823X24001193_ref19","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2031-8"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X24001193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T13:03:34Z","timestamp":1738847014000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X24001193\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,30]]},"references-count":36,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["S0899823X24001193"],"URL":"https:\/\/doi.org\/10.1017\/ice.2024.119","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,30]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}