Cheng 2009.
Methods | STUDY DESIGN: ITS Risk of Bias: MEDIUM |
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Participants | PROVIDERS: all physicians in the hospital PARTICIPANTS: all patients receiving IV antibiotics CLINICAL PROBLEM: reduce inappropriate prescribing of broad‐spectrum IV antibiotics in hospital inpatients SETTING: 1 university hospital in China | |
Interventions | FORMAT, Interventions: educational meetings with dissemination of guidelines; educational outreach by review and recommend change Intervention Functions: education, enablement, persuasion DELIVERER: AMT COMPARISON: usual care DESIRED CHANGE: decrease excessive | |
Outcomes | PRESCRIBING: Choice: use of targeted antibiotics in DDD/1000 OBD | |
Notes | FINANCIAL SUPPORT: no information 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) ? | Unclear risk | Does not mention other changes apart from preceding Antimicrobial Stewardship Programme. |
Analysed appropriately (ITS) ? | Low risk | Re‐analysed |
Shape of effect pre‐specified (ITS) ? | Low risk | Point of intervention was point of analysis. |
Unlikely to affect data collection (ITS) ? | Low risk | Routine pharmacy data used for outcome, so assume complete. |
Knowledge of the allocation adequately prevented(ITS)? | Low risk | Routine pharmacy data used for outcome, so assume complete. |
Incomplete outcome data addressed (ITS) ? | Low risk | Routine pharmacy data used for outcome, so assume complete. |
Free of selected reporting (ITS) ? | Low risk | |
Free of other bias (ITS) ? | Low risk | > 1 year data pre‐ and postintervention |