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Children diagnosed with acute otitis media (AOM) at the Children's Mercy Hospital Kansas Emergency Department routinely get antibiotic prescriptions. There is rarely discussion with families about watchful waiting (defined as discussion of observation with parents and providing a safety-net antibiotic prescription that parents can ill if the patient is not improving or is worsening over the next 48 hours).

The aim of this quality improvement project is to increase watchful waiting for AOM at the CMK ED by 20% by March 2020, with an overall goal of decreasing antibiotic use for AOM.

MeSH Keywords

Otitis Media; Anti-Bacterial Agents; Watchful Waiting; Emergency Service, Hospital; Quality Improvement


Ear infection; ER


Bacterial Infections and Mycoses | Emergency Medicine | Pediatrics | Pharmaceutical Preparations


National Healthcare Quality Week

Optimizing Antibiotic Management of Pediatric Acute Otitis Media in an Emergency Department



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