Decreasing Antibiotic Prescribing in Acute Respiratory Infections Through Nurse Driven Clinical Decision Support

Inclusion Criteria: Clinics: * must be primary care and/or urgent care clinics * should have a minimum of one registered nurse (RN) full time equivalents (FTE) Nurses : * be licensed to see patients and prescribed and/or recommend prescriptions for patients * work a minimum of 0.5 FTE to ensure that they are seeing sufficient numbers of patients to maintain competency * have access to the clinic EHR system, and use regularly as part of patient care Patients: * patients must have been seen at a participating clinic with a complaint of cough or sore throat. * Ages 3-70 will be included for sore throat and ages 18-70 for cough Exclusion Criteria: * are unable or unwilling to provide informed consent * are unable to participate meaningfully in an intervention that involves self-monitoring using software available in English (e.g., due to uncorrected sight impairment, illiterate, non-English-speaking, dementia) * clinics will be excluded if phone call triage of patients with sore throat and cough is not performed by RNs * Nurses will be excluded if they do not work with the clinic EHR as part of their workflow * Patients with a history of chronic lung disease or immunosuppression will be excluded since the CPRs were not validated in these groups