Evidence map›Paper›PMID 33020159›Full record

Observational studyAntimicrobial agents and chemotherapy2020

Decreased Overall and Inappropriate Antibiotic Prescribing in a Veterans Affairs Hospital Emergency Department following a Peer Comparison-Based Stewardship Intervention.

Deanna J Buehrle, Rameez H Phulpoto, Marilyn M Wagener, Cornelius J Clancy, Brooke K Decker

Erratum issuedOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Antimicrobial agents and chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Deanna J BuehrleVA Pittsburgh Healthcare System, Infectious Diseases Section, Pittsburgh, Pennsylvania, USA Deanna.buehrle@va.gov.ORCID 0000-0003-0337-0077
Rameez H PhulpotoVA Pittsburgh Healthcare System, Infectious Diseases Section, Pittsburgh, Pennsylvania, USA.
Marilyn M WagenerVA Pittsburgh Healthcare System, Infectious Diseases Section, Pittsburgh, Pennsylvania, USA.
Cornelius J ClancyVA Pittsburgh Healthcare System, Infectious Diseases Section, Pittsburgh, Pennsylvania, USA.
Brooke K DeckerVA Pittsburgh Healthcare System, Infectious Diseases Section, Pittsburgh, Pennsylvania, USA.
VA Pittsburgh Healthcare System · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic prescribing is very common in emergency departments (EDs). Optimal stewardship intervention strategies in EDs are not well defined. We conducted a prospective, observational cohort study in a Veterans Affairs ED in which clinician education and monthly e-mail-based peer comparisons were directed against all oral antibiotic prescribing for discharged patients. Oral antibiotic prescriptions were compared in baseline (June 2016 to December 2017) and intervention (January to June 2018) periods using an interrupted time series regression model. Prescribing appropriateness was compared during January to June 2017 and the intervention period. During the intervention period, antibiotic prescriptions decreased monthly by 10.4 prescriptions per 1,000 ED visits (

Indexed as

Anti-Bacterial AgentsVeteransEmergency Service, HospitalHospitalsHumansInappropriate PrescribingPractice Patterns, Physicians'Prospective StudiesAnti-Bacterial Agentsantibioticemergency departmentpeer comparisonstewardship

Identifiers

PMID33020159
PMCPMC7927867
OpenAlexW3090249884

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.