Behavioral Interventions Reduce Inappropriate Antibiotic Prescribing for Acute Respiratory Tract Infections
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Am Fam Physician. 2016 Jun 15;93(12):1037.
Do behavioral interventions reduce rates of inappropriate antibiotic prescribing for acute respiratory tract infections in primary care?
Requiring clinicians to justify antibiotic prescribing in the permanent electronic health record and to undergo periodic peer comparisons of prescribing rates are effective interventions for reducing inappropriate antibiotic prescribing for acute respiratory tract infections. Helpful reminders and suggested treatment alternatives do not reduce inappropriate prescribing rates. Information alone rarely changes behavior, but the desire to conform with our peers can be very persuasive. (Level of Evidence = 1b−)
Clinical guidelines encourage avoiding antibiotics for infections when treatment is of minimal, if any, benefit. However, inappropriate antibiotic prescribing for acute respiratory tract infections persists. These investigators invited 49 practices in Massachusetts
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