Lee 2014.
Methods | STUDY DESIGN: ITS Risk of Bias: LOW |
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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) |
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Notes | FINANCIAL SUPPORT: Funding: none. Competing Interests: none declared ADDITIONAL DATA: authors provided additional data about the intervention and for the meta‐regression |
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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 | 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 |