Evidence map›Paper›PMID 42669608›Full record

ArticleKorean journal of medical education2026

A pharmacist-led, workplace-based educational intervention informed by behavioral science to influence antimicrobial prescribing in Japan.

Koji Masuda, Harumi Gomi, Junko Tanuma, Tamae Hiramatsu, Takamitsu Sato, Saho Takaya, Yasuyuki Kato, Tetsuya Matsumoto

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Article in Korean journal of medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

8 authors.

Koji MasudaDepartment of Infection Control and Prevention, International University of Health and Welfare Narita Hospital, Narita, Japan. masuda.ko@jihs.go.jp.
Harumi GomiDepartment of Infection Control and Prevention, International University of Health and Welfare Narita Hospital, Narita, Japan.
Junko TanumaDepartment of Infectious Diseases, International University of Health and Welfare Narita Hospital, Narita, Japan.
Tamae HiramatsuDepartment of Infection Control and Prevention, International University of Health and Welfare Narita Hospital, Narita, Japan.
Takamitsu SatoDepartment of Infection Control and Prevention, International University of Health and Welfare Narita Hospital, Narita, Japan.
Saho TakayaDepartment of Infectious Diseases, International University of Health and Welfare Narita Hospital, Narita, Japan.
Yasuyuki KatoDepartment of Infectious Diseases, International University of Health and Welfare Narita Hospital, Narita, Japan.
Tetsuya MatsumotoDepartment of Infection Control and Prevention, International University of Health and Welfare Narita Hospital, Narita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChanging antimicrobial prescribing behavior is a key challenge in antimicrobial stewardship (AMS). In postgraduate clinical education, knowledge-based teaching alone is often insufficient to achieve sustained behavior change, highlighting the need for workplace-based educational designs informed by behavioral science.

methodsWe conducted a retrospective before-after study to evaluate a pharmacist-led educational intervention designed to influence prescribing behavior of piperacillin/tazobactam (TZP) in Japan. The educational component, consisting of a pharmacist-developed video and post-test, was completed once by physicians prior to implementation, whereas a structured prescription rationale requirement was applied at each TZP prescribing event. Prescribing behavior was assessed using days of therapy (DOT) and antibiotic use density (AUD) over 6 months before and after the intervention. Educational components were treated as process indicators of engagement rather than primary outcomes.

resultsAll full-time physicians completed the instructional video and the post-test. Following the intervention, TZP use decreased by 22.3% in DOT, with consistent reductions observed in season-matched comparisons. Similar trends were observed for AUD.

conclusionWorkflow-embedded reflective prompts may be useful as a workplace-based educational strategy for influencing antimicrobial prescribing behavior.

Indexed as

Anti-Bacterial AgentsAntimicrobial StewardshipPenicillanic AcidPharmacistsPractice Patterns, Pharmacists'Practice Patterns, Physicians'Adherence InterventionsDrug PrescriptionsHumansJapanPiperacillinPiperacillin, Tazobactam Drug CombinationRetrospective StudiesWorkplaceAnti-Bacterial AgentsPenicillanic AcidPiperacillinPiperacillin, Tazobactam Drug CombinationAntimicrobial stewardshipPharmacistsPiperacillin/tazobactam drug combination

Identifiers

PMID42669608
PMCPMC13549810

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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.