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Quality improvement
Review: quality improvement interventions reduce unnecessary prescription of antibiotics for outpatients

https://doi.org/10.1136/ebn.12.1.27

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    S R Ranji

    Dr S R Ranji, University of California San Francisco, San Francisco, CA, USA; sumantr@medicine.ucsf.edu

    QUESTION

    Do quality improvement interventions reduce unnecessary prescribing of antibiotics for outpatients with acute illnesses?

    REVIEW SCOPE

    Studies selected evaluated 1 of 6 strategies (clinician education, patient education, delayed prescriptions, audit and feedback, clinician reminders and decision support systems, and financial and regulatory incentives and disincentives) intended to reduce unnecessary prescribing of antibiotics for outpatients with acute non-bacterial illnesses, and reported data on antibiotic prescribing or use before and after the intervention. Outcomes included proportion of patient visits with a prescription for antibiotics and clinical outcomes (eg, symptom resolution).

    REVIEW METHODS

    Cochrane Collaboration Effective Practice and Organisation of Care database (1966 to Aug 2005), Medline (Jun 2005 to Mar 2007), and reference lists were …

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    Footnotes

    • Source of funding: Agency for Healthcare Research and Quality.