Chan 2015.
Methods | STUDY DESIGN: ITS Risk of Bias: LOW |
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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 |
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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 |
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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 |