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. 2017 Feb 9;2017(2):CD003543. doi: 10.1002/14651858.CD003543.pub4

Chan 2015.

Methods STUDY DESIGN: ITS
Risk of Bias: LOW
Participants PROVIDERS: all physicians in the hospital
 PARTICIPANTS: all patients requring vancomycin
 CLINICAL PROBLEM: patients requiring more than 2 doses of vancomycin treatment
 SETTING: 1 university hospital in the USA
Interventions FORMAT Interventions: restrictive ‐ expert approval
Intervention Functions: restriction
 DELIVERER: AMT
 COMPARISON: pre‐existing antimicrobial stewardship programme with audit and feedback. No valid data about impact of this programme (UBA).
 DESIRED CHANGE: decrease excessive
Outcomes PRESCRIBING: Choice: use of vancomycin in DDD/1000 OBD
Notes FINANCIAL SUPPORT: none. Competing Interests: none declared
ADDITIONAL DATA: no response from authors to request for additional data
Risk of bias
Bias Authors' judgement Support for judgement
Intervention independent (ITS) ? Low risk  
Analysed appropriately (ITS) ? Low risk Segmented regression analysis
Shape of effect pre‐specified (ITS) ? Low risk  
Unlikely to affect data collection (ITS) ? Low risk Routine data from pharmacy computer
Knowledge of the allocation adequately prevented(ITS)? Low risk Routine data from pharmacy computer
Incomplete outcome data addressed (ITS) ? Low risk Routine data from pharmacy computer
Free of selected reporting (ITS) ? Low risk Routine data from pharmacy computer
Free of other bias (ITS) ? Low risk 21 months' pre‐ and 51 months' postintervention data