查看文章

Antibiotic-prescribing in Emergency Departments (EDs) is often inappropriate. In this study, we evaluated whether audit-and-feedback could improve antibiotic use in EDs.

Figure 1. Comparison of antibiotic-prescribing between the pretest and intervention periods at 2 intervention EDs and 2 control EDs

We pilot tested an audit-and-feedback intervention using a quasi-experimental study design at 2 intervention and 2 matched-control EDs with a 12-month pretest and a 12-month intervention period. At intervention sites, 27 of 31 (87.1%) clinicians were enrolled; at baseline, they received 1) one-on-one education about antibiotic-prescribing and 2) individualized feedback with comparisons to local peers. Feedback included personalized antibiotic-prescribing data for all ED visits and specifically for viral acute respiratory infections …