From: Behavioral interventions to reduce inappropriate antibiotic prescribing: a randomized pilot trial
Intervention | Randomized Clinicians (n) | Antibiotic Prescribing for Visits with Non-Antibiotic-Appropriate ARI Diagnoses | Difference in Antibiotic Prescribing Rate between Intervention and Pre-intervention Period % (95Â % CI) | |
---|---|---|---|---|
Pre-Intervention Year, n/N (%) | Intervention Year, n/N (%) | |||
No intervention | 4 | 7 / 57 (12.3) | 5 / 136 (3.4) | −8.6 (−17.9 to 0.7) |
Accountable Justifications | 3 | 14 / 72 (19.4) | 8 / 70 (11.4) | −8.0 (−20.0 to 4.0) |
Suggested Alternatives | 3 | 7 / 44 (15.9) | 4 / 51 (7.8) | −8.1 (−21.5 to 5.4) |
Peer Comparisons | 3 | 31 / 74 (41.9) | 8 / 68 (11.8) | −30.1 (−44.0 to −16.3) |
Accountable Justifications, Suggested Alternatives | 4 | 20 / 128 (15.6) | 2 / 95 (2.1) | −13.5 (−20.5 to −6.5) |
Suggested Alternatives, Peer Comparisons | 4 | 41 / 118 (34.8) | 4 / 102 (3.9) | −30.8 (−40.3 to −21.3) |
Accountable Justifications, Peer Comparisons | 4 | 44 / 187 (23.5) | 6 / 206 (2.9) | −20.6 (−27.2 to −14.1) |
Accountable Justifications, Suggested Alternatives, Peer Comparisons | 3 | 46 / 171 (26.9) | 9 / 162 (5.6) | −21.4 (−28.9 to −13.8) |
Any Accountable Justifications | 14 | 124 / 558 (22.2) | 25 / 532 (4.7) | −17.5 (−21.4 to −13.6) |
No Accountable Justifications | 14 | 86 / 293 (29.4) | 21 / 357 (5.9) | −23.5 (−29.3 to −17.7) |
Any Suggested Alternatives | 14 | 114 / 461 (24.7) | 19 / 410 (4.6) | −20.1 (−24.5 to −15.7) |
No Suggested Alternatives | 14 | 96 / 390 (24.6) | 27 / 479 (5.6) | −19.0 (−23.7 to −14.2) |
Any Peer Comparisons | 14 | 162 / 550 (29.5) | 27 / 537 (5.0) | −24.4 (−28.7 to −20.2) |
No Peer Comparisons | 14 | 48 / 301 (15.9) | 19 / 352 (5.4) | −10.6 (−15.3 to −5.8) |
All groups combined | 28 | 210 / 851 (24.7) | 46 / 889 (5.2) | −19.5 (−22.8 to −16.3) |