Poehling 2006.
Methods | STUDY DESIGN: RCT Risk of Bias: HIGH |
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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 |
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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 |