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

Lee 2014.

Methods STUDY DESIGN: ITS
Risk of Bias: LOW
Participants PROVIDERS: all physicians in the units
 PARTICIPANTS: all patients in the units
 CLINICAL PROBLEM: requiring therapeutic antibiotics
 SETTING: internal medicine (2 units) at 1 university hospital in Canada
Interventions FORMAT: Interventions: audit and feedback; educational meetings (monthly with residents) with dissemination of educational materials
 Intervention Functions: education, enablement, persuasion
 DELIVERER: AMT
 COMPARISON: usual care
 DESIRED CHANGE: decrease excessive
Outcomes PRESCRIBING: Choice: DDD/1000 OBD of target antibiotics
FINANCIAL: intervention cost and savings (cost of all antibiotics)
Notes FINANCIAL SUPPORT: Funding: none. Competing Interests: none declared
ADDITIONAL DATA: authors provided additional data about the intervention and for the meta‐regression
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 Point of intervention was point of analysis.
Unlikely to affect data collection (ITS) ? Low risk Outcomes were measured from electronic pharmacy data.
Knowledge of the allocation adequately prevented(ITS)? Low risk Outcomes were measured from electronic pharmacy data.
Incomplete outcome data addressed (ITS) ? Low risk Outcomes were measured from electronic pharmacy data.
Free of selected reporting (ITS) ? Low risk Outcomes were measured from electronic pharmacy data.
Free of other bias (ITS) ? Low risk > 12 months' data pre‐ and postintervention