A clinical trial comparing physician prompting with an unprompted automated electronic checklist to reduce empirical antibiotic utilization.

ABSTRACT:

Objectives

To determine whether face-to-face prompting of critical care physicians reduces empirical antibiotic utilization compared to an unprompted electronic checklist embedded within the electronic health record.

Design

Random allocation design.

Setting

Medical ICU with high-intensity intensivist coverage at a tertiary care urban medical center.

Patients

Two hundred ninety-six critically ill patients treated with at least 1 day of empirical antibiotics.

Interventions

For one medical ICU team, face-to-face prompting of critical care physicians if they did not address empirical antibiotic utilization during a patient's daily rounds. On a separate medical ICU team, attendings and fellows were trained once to complete an electronic health record-embedded

SUBMITTER: Weiss CH 

PROVIDER: S-EPMC3812385 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature