Figure 1.

Framework of the multimodal computerized intervention

The computerised decision-support system is embedded into the electronic-prescribing system and triggered by the prescription of an antimicrobial in the computerised physician-order entry. The intervention contains four components: decision support for antimicrobial treatment and request for an accountable justification in case of deviation from the recommended duration; alert for self-guided re-evaluation of the prescription on calendar days 3–5; decision support for the duration and request for an accountable justification in case of deviation from the recommended duration; and feedback of quality indicators of antimicrobial prescriptions delivered at the ward level. CAP=community-acquired pneumonia. IV=intraveinous. PO=per os.