ArticleInterdisciplinary perspectives on infectious diseases2012
Development of an antimicrobial stewardship intervention using a model of actionable feedback.
Article in Interdisciplinary perspectives on infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03079245 (Improving Antimicrobial Prescribing Practices in the Neonatal Intensive Care Unit), which is not on this map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improving Antimicrobial Prescribing Practices in the Neonatal Intensive Care Unit
Who cites it
21 citing papers in PubMed.
- Behavioral Interventions to Reduce Infections in Pediatric Long-term Care Facilities: The Keep It Clean for Kids Trial.Behavioral medicine (Washington, D.C.)Trial
- A quality improvement initiative to reduce antibiotic use in transient tachypnea of the newborn.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Implementation of an antimicrobial stewardship program in the Australian private hospital system: qualitative study of attitudes to antimicrobial resistance and antimicrobial stewardship.BMC health services research · 2022Article
- Core Elements for Implementing Antimicrobial Stewardship Programs in Korean General Hospitals.Infection & chemotherapy · 2022Review
- A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications for Hospitalized Patients in 2021.Open forum infectious diseases · 2022Review
- A Privacy-Preserving Audit and Feedback System for the Antibiotic Prescribing of General Practitioners: Survey Study.JMIR formative research · 2022Article
- Improving the Development and Implementation of Audit and Feedback Systems to Support Health Care Workers in Limiting Antimicrobial Resistance in the Hospital: Scoping Review.Journal of medical Internet research · 2022Article
- A Scoping Review of the Use of Social and Behavioral Change in Acute Care Antimicrobial Stewardship Initiatives.Hospital pharmacy · 2022Article
- Antimicrobial stewardship program in pediatric medicine.Pediatric investigation · 2021Review
- Evaluating a Pharmacy-Driven 72-Hour Antibiotic Monitoring Program Implemented in a Community Hospital.Hospital pharmacy · 2021Article
- Expanding Existing Antimicrobial Stewardship Programs in Pediatrics: What Comes Next.Journal of the Pediatric Infectious Diseases Society · 2018Review
- NEC-zero recommendations from scoping review of evidence to prevent and foster timely recognition of necrotizing enterocolitis.Maternal health, neonatology and perinatology · 2017Review
- Different antibiotic strategies in transient tachypnea of the newborn: an ambispective cohort study.European journal of pediatrics · 2015Article
- Antibiotic stewardship programmes in intensive care units: Why, how, and where are they leading us.World journal of critical care medicine · 2015Review
- Core elements of hospital antibiotic stewardship programs from the Centers for Disease Control and Prevention.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014Article
- Developing clinical decision support within a commercial electronic health record system to improve antimicrobial prescribing in the neonatal ICU.Applied clinical informatics · 2014Article
- Neonatal infectious diseases: evaluation of neonatal sepsis.Pediatric clinics of North America · 2013Review
- Duration of empirical antibiotic therapy for infants suspected of early-onset sepsis.Current opinion in pediatrics · 2013Review
- Principles and strategies of antimicrobial stewardship in the neonatal intensive care unit.Seminars in perinatology · 2012Review
- An antimicrobial stewardship program improves antimicrobial treatment by culture site and the quality of antimicrobial prescribing in critically ill patients.Critical care (London, England) · 2012Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
We describe the development of an audit and feedback intervention to improve antibiotic prescribing in the neonatal intensive care unit (NICU) using a theoretical framework. Participants included attending physicians, neonatal fellows, pediatric residents, and nurse practitioners. The intervention was based on the "model of actionable feedback" which emphasizes that feedback should be timely, individualized, nonpunitive, and customized to be effective. We found that real-time feedback could not be provided for the parameters established in this study, as we had to collect and analyze numerous data elements to assess appropriate initiation and continuation of antibiotics and required longer intervals to examine trends in antibiotic use. We learned during focus groups that NICU clinicians strongly resisted assigning individual responsibility for antibiotic prescribing as they viewed this as a shared responsibility informed by each patient's laboratory data and clinical course. We were able to create a non-punitive atmosphere thanks to written informed consent from NICU attendings and assurance from leadership that prescribing practices would not be used to assess job performance. We provided customized, meaningful feedback integrating input from the participants. Adapting the principles of the "model of actionable feedback" to provide feedback for antimicrobial prescribing practices proved challenging in the NICU setting.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.