Evidence map›Paper›PMID 35830221›Full record

ArticleJMIR formative research2022

A Privacy-Preserving Audit and Feedback System for the Antibiotic Prescribing of General Practitioners: Survey Study.

Kassaye Yitbarek Yigzaw, Taridzo Chomutare, Rolf Wynn, Gro Karine Rosvold Berntsen, Johan Gustav Bellika

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 51% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Kassaye Yitbarek YigzawNorwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway.ORCID https://orcid.org/0000-0001-7068-117X
Taridzo ChomutareNorwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway.ORCID https://orcid.org/0000-0003-3603-175X
Rolf WynnInstitute of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.ORCID https://orcid.org/0000-0002-2254-3343
Gro Karine Rosvold BerntsenNorwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway.ORCID https://orcid.org/0000-0002-3294-4263
Johan Gustav BellikaNorwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway.ORCID https://orcid.org/0000-0003-2893-6989
University Hospital of North Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntibiotic resistance is a worldwide public health problem that is accelerated by the misuse and overuse of antibiotics. Studies have shown that audits and feedback enable clinicians to compare their personal clinical performance with that of their peers and are effective in reducing the inappropriate prescribing of antibiotics. However, privacy concerns make audits and feedback hard to implement in clinical settings. To solve this problem, we developed a privacy-preserving audit and feedback (A&F) system.

objectiveThis study aims to evaluate a privacy-preserving A&F system in clinical settings.

methodsA privacy-preserving A&F system was deployed at three primary care practices in Norway to generate feedback for 20 general practitioners (GPs) on their prescribing of antibiotics for selected respiratory tract infections. The GPs were asked to participate in a survey shortly after using the system.

resultsA total of 14 GPs responded to the questionnaire, representing a 70% (14/20) response rate. The participants were generally satisfied with the usefulness of the feedback and the comparisons with peers, as well as the protection of privacy. The majority of the GPs (9/14, 64%) valued the protection of their own privacy as well as that of their patients.

conclusionsThe system overcomes important privacy and scaling challenges that are commonly associated with the secondary use of electronic health record data and has the potential to improve antibiotic prescribing behavior; however, further study is required to assess its actual effect.

Indexed as

antibioticsantimicrobial stewardshipclinical settingelectronic health recordfeedbacklearning health care systempatient privacyprescriptionprivacyquality improvement

Identifiers

PMID35830221
PMCPMC9330202
OpenAlexW4285393516

What OpenQuestion holds

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LicenceCC BY
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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.