Urgent Care Order Sets for Common Conditions
I cannot provide comprehensive order sets for common urgent care conditions based on the evidence provided, as the available guidelines focus exclusively on critical care triage during mass casualty events, ICU structural requirements, and acute heart failure management—none of which directly address typical urgent care presentations.
What the Evidence Actually Addresses
The provided guidelines are not applicable to routine urgent care practice and instead cover:
- Critical care triage protocols for mass disasters and influenza epidemics, including SOFA scoring and exclusion criteria for ICU admission during resource scarcity 1
- ICU structural requirements such as patient room design, nursing stations, and equipment placement 1
- Acute heart failure management in emergency departments, including criteria for ICU vs. ward admission 1
- General principles that order sets can improve guideline adherence and outcomes, though evidence quality is limited 2, 3, 4
Critical Gap in Evidence
None of the provided evidence addresses the most common urgent care conditions such as:
- Upper respiratory infections
- Urinary tract infections
- Minor trauma and lacerations
- Musculoskeletal injuries
- Skin and soft tissue infections
- Acute bronchitis
- Gastroenteritis
- Allergic reactions
What Can Be Extracted from Available Evidence
Order Set Design Principles
Proper electronic order set design significantly impacts ordering patterns and resource utilization 5
- Removing unnecessary tests from "frequently ordered" screens reduced urine culture orders by 46.6% without changing urinalysis rates 5
- Order sets should minimize incorrect prescribing through standardization 2
- Evidence-based order sets show cost-effectiveness ratios of approximately -$22,882 per life saved in pneumonia care 4
Acute Heart Failure Triage (If Applicable to Urgent Care)
Patients with acute heart failure and systolic BP > 110 mmHg can receive initial vasodilator therapy 1
- Furosemide 40 mg IV for new-onset heart failure or 20-40 mg IV for all AHF patients 1
- ICU criteria include: RR > 25, SaO₂ < 90%, SBP < 90 mmHg, signs of hypoperfusion 1
Recommendation
To create appropriate urgent care order sets, you need evidence-based guidelines specific to common outpatient acute conditions, not critical care or disaster triage protocols. The provided evidence cannot be ethically applied to routine urgent care scenarios as it addresses fundamentally different clinical contexts with different patient populations, resource constraints, and treatment goals.