Popovski 2015.
Methods | STUDY DESIGN: ITS Risk of Bias: LOW |
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Participants | PROVIDERS: all physicians in the hospital PARTICIPANTS: all patients with intra‐abdominal infections CLINICAL PROBLEM: decrease use of ciprofloxacin for empirical treatment SETTING: 1 university hospital in Canada | |
Interventions | FORMAT: Interventions: educational meetings with dissemination of guidelines; reminders (physical, posters, and on intranet) Intervention Functions: education, environmental restructuring DELIVERER: AMT COMPARISON: usual care DESIRED CHANGE: decrease excessive | |
Outcomes | PRESCRIBING: Choice: use of ciprofloxacin in DDD/1000 OBD CLINICAL: mortality, re‐admission (cohort data) |
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Notes | FINANCIAL SUPPORT: Funding: commercial Merck, Pfizer, Astellas, and the Medbuy Corporation. Hamilton Health Sciences Foundation (Jack Hirsh Fellowship). Competing Interests: 1 author received honoraria from Merck and Astellas for lectures. All other authors: none to declare ADDITIONAL DATA: email response from authors with guideline and additional data about the intervention |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Intervention independent (ITS) ? | Low risk | |
Analysed appropriately (ITS) ? | Low risk | Re‐analysed |
Shape of effect pre‐specified (ITS) ? | Low risk | Point of intervention was point of analysis. |
Unlikely to affect data collection (ITS) ? | Low risk | Outcome data from pharmacy computer |
Knowledge of the allocation adequately prevented(ITS)? | Low risk | Outcome data from pharmacy computer |
Incomplete outcome data addressed (ITS) ? | Low risk | Outcome data from pharmacy computer |
Free of selected reporting (ITS) ? | Low risk | Outcome data from pharmacy computer |
Free of other bias (ITS) ? | Low risk | > 1 year data pre‐ and postintervention |