Improving Antimicrobial-Prescribing in Emergency Departments

Completed · Not applicable

Conditions studied: Anti-Bacterial Agents, Respiratory Tract Infections

In brief

Antimicrobial resistance is one of today's most urgent public health problems. One of the most important strategies to slow the spread of antimicrobial resistance is the promotion of judicious antimicrobial use. There are tremendous opportunities to reduce unnecessary antimicrobial-prescribing, particularly in Emergency Departments (EDs). In this study, the investigators will work collaboratively with ED providers in the Veterans Health Administration (VHA) to reduce unnecessary antimicrobial use. Academic-detailing and an audit-and-feedback intervention will be implemented, and the study will assess how overall antimicrobial-prescribing changes once these interventions are performed. ED providers will be shown how their antimicrobial-prescribing compares to their peers, thereby encouraging them to consider their professional reputation when making prescribing decisions. To assess the impact of this intervention, the study will monitor providers' antimicrobial-prescribing behavior through an automated metric, i.e. number of antimicrobial prescriptions per number of patient-visits. To assess changes in the appropriateness of antimicrobial-prescribing, the study team will also perform manual chart reviews and compare prescribing decisions to published guidelines.

Key facts

Study ID

NCT03349567

Run by

Iowa City Veterans Affairs Medical Center

People needed

27

Starts

2018-10-09

Expected to finish

2019-10-31

Last updated by the study team

2021-04-28

Who can join

Age: any. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• -An ED provider at one of the intervention or control sites.

You may not qualify if…

• -An ED provider who sees less than 100 patients in the ED per year.

Where it is running

• Richard Roudebush VAMC — Indianapolis, Indiana, United States
• Sioux Falls VA — Sioux Falls, South Dakota, United States

Full record on ClinicalTrials.gov

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