Table 1 Overview of implemented interventions
Intervention | Hospital | Specialty | Intervention sessions | Attendance consultants/ residents (estimated) | Performed by | Special features of each intervention | Common features of intervention sessions for both audit with feedback and academic detailing |
|---|---|---|---|---|---|---|---|
Audit with feedback | A | Pulmonary medicine | 16.05.14 | 70% | Local pharmacist + study ward consultant | Focus areas: Pneumonia (CAP) COPD exacerbations - > Adherence to guideline (50 patients) Use of broad-spectrum antibiotics - > Indication for treatment (50 patients) | 1. Verbal presentation including: - Antibiotic resistance - Antibiotic guideline - Dosing of antibiotics - Ward antibiotic sales statistics 2. Discussion among ward physicians: - Ward prescribing practice - Challenges - Target setting (1–2 targets) |
B | Infectious diseases | 20.05.14 27.05.14 | 100% | ||||
Academic detailing | A | Gastro-enterology | 14.05.14 | 90% | Local ID-physician | Case discussions on recently discharged patients with infectious diseases. Variety of diagnoses, chosen by ID-physician | |
B | Pulmonary medicine | 13.05.14 23.05.14 | 100% | ||||
C | Infectious diseases | 20.05.14 21.05.14 | 70% | ||||
Control | A | Infectious diseases | |||||
B | Gastro-enterology | ||||||
C | Pulmonary medicine | ||||||