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

Poehling 2006.

Methods STUDY DESIGN: RCT
Risk of Bias: HIGH
Participants PROVIDERS: doctors in the ED
 PARTICIPANTS: children with influenza‐like illness
 CLINICAL PROBLEM: decrease antibiotic prescribing for influenza
 SETTING: 1 university hospital in the USA
Interventions FORMAT: Interventions: structural, rapid influenza testing
 Intervention Functions: environmental restructuring
DELIVERER: specialist physicians, Department of Pediatrics
COMPARISON: usual care
DESIRED CHANGE: decrease excessive
Outcomes PRESCRIBING: Exposure: % children treated
Notes FINANCIAL SUPPORT: Funding: New Vaccine Surveillance Network and Robert Wood Johnson Generalist Physicians Faculty Scholars Program. Competing Interests: none declared
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number generator
Allocation concealment (selection bias) Unclear risk Does not say, but possibly not due to nature of study
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk No information
Incomplete outcome data (attrition bias) 
 All outcomes Low risk From records, outcomes on all included children
Selective reporting (reporting bias) Low risk From records, outcomes on all included children
Other bias Low risk  
Baseline Outcomes similar? Unclear risk No baseline outcomes taken.
Free of contamination? Low risk Influenza testing only on children in intervention group
Baseline characteristics similar? Low risk Table 1