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Effectiveness of audit and feedback in addressing over prescribing of antibiotics and injectable medicines in a middle-income country: an RCT.

Author: AbdollahiMohammad, DinarvandRassoul, HosseiniMostafa, KebriaeezadeAbbas, RashidianArash, SoleymaniFatemeh

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Overview

This study evaluated three interventions to reduce antibiotic and injectable medicine overprescribing in Iran. A new-design audit and feedback intervention significantly reduced prescriptions of dexamethasone and cefixime. Printed educational material also reduced cefixime prescriptions. While these interventions were effective, the improvements were modest, suggesting more intensive interventions are needed to tackle overprescribing issues.
Paper Details　
Original Abstract of the Article :
Overprescribing of antibiotics and injectable medicines is common in ambulatory care in many low- and middleincome countries. We evaluated the effects of three different interventions in improving physician prescribing. We conducted a four-armed randomized controlled trial with one-month and three- ...See full text at original site
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引用元：
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593028/

データ提供：米国国立医学図書館（NLM）

Tackling Overprescribing: A New Approach to Antibiotics and Injectables

The overprescribing of antibiotics and injectable medications is a persistent issue in many healthcare systems. This study explores a new oasis in the desert of antibiotic overuse, evaluating the effectiveness of different interventions in improving physician prescribing practices. The researchers conducted a randomized controlled trial with 100 general physicians, pediatricians, and infectious disease specialists in Tehran, Iran. These doctors were randomly assigned to one of four groups, each receiving a different intervention: a new-design audit and feedback (NA&F), printed educational material (PEM), routine audit and feedback (RA&F), or a control group. The results revealed that the NA&F group experienced a significant reduction in the proportion of prescriptions containing injectable dexamethasone and cefixime, indicating the potential effectiveness of this intervention.

A Beacon of Hope in the Desert of Overprescribing

This study shows the effectiveness of using theoretical insights to design interventions for improving physician prescribing practices. The results suggest that a new-design audit and feedback approach can be a valuable tool in combating overprescribing, potentially leading to more rational and appropriate use of antibiotics and injectable medications.

A Desert Compass for Appropriate Prescribing

This study offers valuable insights for healthcare professionals and policymakers seeking to address the challenge of overprescribing. By embracing evidence-based interventions and promoting a culture of responsible prescribing, we can create a healthier and more sustainable future for our healthcare systems.

Dr.Camel's Conclusion

This study provides a roadmap for combating overprescribing, a persistent issue in the vast desert of healthcare. By utilizing theoretical insights to design interventions and promoting the responsible use of antibiotics and injectable medications, we can create a healthier and more sustainable future for our healthcare systems.
Date :
  1. Date Completed 2019-12-11
  2. Date Revised 2020-02-25
Further Info :

Pubmed ID

30788839

DOI: Digital Object Identifier

PMC6593028

Related Literature

Article Analysis
・Effects of cefotaxime injection
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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