Document Type



Doctor of Nursing Practice



Date of Defense


Graduate Advisor

Vanessa Loyd, DNP, PhD, RN; Nursing Department


Vanessa Loyd, DNP, PhD, RN

Elise Schaller, DNP, MHA, APRN, CPNP-PC

Christine Lane, MHA, MSN, FNP-C


Objective: The purpose of this pilot quality improvement study was to implement SmartPhrases and assess its impact on adherence to the Infectious Disease Society of America (IDSA) guideline for Group A Streptococcus (GAS) pharyngitis testing and treatment in pediatric patients ages 1-16 years old. The aim was to use SmartPhrases to improve adherence with the IDSA guideline by 30% for GAS pharyngitis swabbing and 10% for appropriate antibiotic prescribing in three months.

Methods: A retrospective data analysis approach was used, in reviewing SmartPhrases data from the electronic health records (EHR) in a metropolitan Urgent Care. This data were collected from October 2022 and April 2023. The IOWA Model of Evidence-Based Practice was applied to evaluate the use of SmartPhrases. Sampling was done by convenience method.

Results: There were (N=116) met criteria for the pre and post-timeframe.Timeframe data was compared using the Chi-Square Goodness of Fit test, revealing a significant difference (p

Conclusion: The impact of SmartPhrases on IDSA guideline usage was inconclusive. Recommendations for future studies is to investigate interventions to help improve guideline adherence, such as SmartPhrases, education, and protocols. Implications for practice are education and SmartPhrases may be able to improve guideline utilization.