Skip to main content
. 2017 Feb 9;2017(2):CD003543. doi: 10.1002/14651858.CD003543.pub4

Connor 2007.

Methods STUDY DESIGN: unintended consequences, cohort study
Risk of Bias: LOW
Participants PROVIDERS: all physicians prescribing vancomycin
 PARTICIPANTS: 120 patients with vancomycin prescription approved for only 72 hours
 CLINICAL PROBLEM: interruption of vancomycin treatment
 SETTING: 1 hospital in the USA
Interventions FORMAT, Interventions: reminders (circumstantial and physical) stickers in medical records on day 3 warning of impending stop order; restrictive: stop order if approval not obtained
 Intervention Functions: enablement, environmental restructuring, restriction
 DELIVERER: AMT
 COMPARISON: participants with and without sticker
 DESIRED CHANGE: decrease excessive
Outcomes UNINTENDED CONSEQUENCES: interruption of vancomycin treatment
Notes ROBINS‐I RISK OF BIAS CRITERIA:
1. Confounding: Low, confounding unlikely
2. Selection of participants into the study: Low, selection into the study unrelated to intervention (sticker in notes) or outcome
3. Measurement classification of interventions: Low, intervention status well defined, recorded at the time of intervention and unaffected by knowledge of the outcome
4. Deviations from intended interventions: Low, the study was designed to detect intervention failure (no warning sticker)
5. Missing data: Low, outcome data and intervention status complete on all 120 participants
6. Measurement of outcome: Low, outcome measure objective and unaffected by intervention status
7. Selection of the reported result: Low, reported effect predefined
FINANCIAL SUPPORT: Funding: none. Competing Interests: EL received research support from Merck Pharmaceuticals and Ortho‐McNeil Pharmaceuticals. All other authors reported no conflicts of interest.