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

Cheng 2009.

Methods STUDY DESIGN: ITS
Risk of Bias: MEDIUM
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
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