Table 1.
Overview of implemented interventions
| Intervention | Hospital | Specialty | Intervention sessions | Attendance consultants/ residents (estimated) | Performed by | Special features of each intervention | Common features of intervention sessions for both audit with feedback and academic detailing |
|---|---|---|---|---|---|---|---|
| Audit with feedback | A | Pulmonary medicine | 16.05.14 | 70% | Local pharmacist + study ward consultant | Focus areas: Pneumonia (CAP) COPD exacerbations - > Adherence to guideline (50 patients) Use of broad-spectrum antibiotics - > Indication for treatment (50 patients) |
1. Verbal presentation including: - Antibiotic resistance - Antibiotic guideline - Dosing of antibiotics - Ward antibiotic sales statistics 2. Discussion among ward physicians: - Ward prescribing practice - Challenges - Target setting (1–2 targets) |
| B | Infectious diseases | 20.05.14 27.05.14 |
100% | ||||
| Academic detailing | A | Gastro-enterology | 14.05.14 | 90% | Local ID-physician | Case discussions on recently discharged patients with infectious diseases. Variety of diagnoses, chosen by ID-physician |
|
| B | Pulmonary medicine | 13.05.14 23.05.14 |
100% | ||||
| C | Infectious diseases | 20.05.14 21.05.14 |
70% | ||||
| Control | A | Infectious diseases | |||||
| B | Gastro-enterology | ||||||
| C | Pulmonary medicine | ||||||