Best practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN)
Abstract Background Primary care is a critical partner for antimicrobial stewardship efforts given its high human antibiotic usage. Peer comparison audit and feedback (A&F) is often used to reduce inappropriate antibiotic prescribing. The design and implementation of A&F may impact its effec...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-07-01
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| Series: | Antimicrobial Resistance and Infection Control |
| Online Access: | https://doi.org/10.1186/s13756-023-01279-z |
| _version_ | 1797769315234086912 |
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| author | Kevin L. Schwartz Alice X. T. Xu Sarah Alderson Lars Bjerrum Jamie Brehaut Benjamin C. Brown Heiner C. Bucher An De Sutter Nick Francis Jeremy Grimshaw Ronny Gunnarsson Sigurd Hoye Noah Ivers Donna M. Lecky Morten Lindbæk Jeffrey A. Linder Paul Little Benedikte Olsen Michalsen Denise O’Connor Celine Pulcini Pär-Daniel Sundvall Pia Touboul Lundgren Jan Y. Verbakel Theo J. Verheij |
| author_facet | Kevin L. Schwartz Alice X. T. Xu Sarah Alderson Lars Bjerrum Jamie Brehaut Benjamin C. Brown Heiner C. Bucher An De Sutter Nick Francis Jeremy Grimshaw Ronny Gunnarsson Sigurd Hoye Noah Ivers Donna M. Lecky Morten Lindbæk Jeffrey A. Linder Paul Little Benedikte Olsen Michalsen Denise O’Connor Celine Pulcini Pär-Daniel Sundvall Pia Touboul Lundgren Jan Y. Verbakel Theo J. Verheij |
| author_sort | Kevin L. Schwartz |
| collection | DOAJ |
| description | Abstract Background Primary care is a critical partner for antimicrobial stewardship efforts given its high human antibiotic usage. Peer comparison audit and feedback (A&F) is often used to reduce inappropriate antibiotic prescribing. The design and implementation of A&F may impact its effectiveness. There are no best practice guidelines for peer comparison A&F in antibiotic prescribing in primary care. Objective To develop best practice guidelines for peer comparison A&F for antibiotic prescribing in primary care in high income countries by leveraging international expertise via the Joint Programming Initiative on Antimicrobial Resistance—Primary Care Antibiotic Audit and Feedback Network. Methods We used a modified Delphi process to achieve convergence of expert opinions on best practice statements for peer comparison A&F based on existing evidence and theory. Three rounds were performed, each with online surveys and virtual meetings to enable discussion and rating of each best practice statement. A five-point Likert scale was used to rate consensus with a median threshold score of 4 to indicate a consensus statement. Results The final set of guidelines include 13 best practice statements in four categories: general considerations (n = 3), selecting feedback recipients (n = 1), data and indicator selection (n = 4), and feedback delivery (n = 5). Conclusion We report an expert-derived best practice recommendations for designing and evaluating peer comparison A&F for antibiotic prescribing in primary care. These 13 statements can be used by A&F designers to optimize the impact of their quality improvement interventions, and improve antibiotic prescribing in primary care. |
| first_indexed | 2024-03-12T21:07:06Z |
| format | Article |
| id | doaj.art-8d3b0779e08a4751ad90987aefdd149a |
| institution | Directory Open Access Journal |
| issn | 2047-2994 |
| language | English |
| last_indexed | 2024-03-12T21:07:06Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj.art-8d3b0779e08a4751ad90987aefdd149a2023-07-30T11:24:59ZengBMCAntimicrobial Resistance and Infection Control2047-29942023-07-0112111010.1186/s13756-023-01279-zBest practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN)Kevin L. Schwartz0Alice X. T. Xu1Sarah Alderson2Lars Bjerrum3Jamie Brehaut4Benjamin C. Brown5Heiner C. Bucher6An De Sutter7Nick Francis8Jeremy Grimshaw9Ronny Gunnarsson10Sigurd Hoye11Noah Ivers12Donna M. Lecky13Morten Lindbæk14Jeffrey A. Linder15Paul Little16Benedikte Olsen Michalsen17Denise O’Connor18Celine Pulcini19Pär-Daniel Sundvall20Pia Touboul Lundgren21Jan Y. Verbakel22Theo J. Verheij23Public Health OntarioPublic Health OntarioLeeds Institute of Health Sciences, University of LeedsSection of General Practice and Research Unit for General Practice, Department of Public Health, University of CopenhagenCentre for Practice-Changing Research (CPCR), Ottawa Hospital Research InstituteDivision of Population Health, Health Services Research and Primary Care, School of Health Sciences, University of ManchesterDivision of Clinical Epidemiology, University Hospital Basel and University of BaselDepartment of Public Health and Primary Care, Center for Family Medicine UGent, Ghent UniversityPrimary Care Research Centre, University of SouthamptonDepartment of Medicine, University of OttawaGeneral Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of GothenburgDepartment of General Practice, Antibiotic Centre for Primary Care, Institute of Health and Society, University of OsloWomen’s College HospitalPrimary Care and Interventions Unit, UK Health Security AgencyDepartment of General Practice, Antibiotic Centre for Primary Care, Institute of Health and Society, University of OsloDivision of General Internal Medicine, Northwestern University Feinberg School of MedicinePrimary Care Research Centre, University of SouthamptonDepartment of General Practice, Antibiotic Centre for Primary Care, Institute of Health and Society, University of OsloSchool of Public Health and Preventive Medicine, Monash UniversityAPEMAC, Université de LorraineGeneral Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of GothenburgDepartment of Public Health, Nice University HospitalDepartment of Public Health and Primary Care, KU LeuvenJulius Center for Health Sciences and Primary Care, University Medical Center UtrechtAbstract Background Primary care is a critical partner for antimicrobial stewardship efforts given its high human antibiotic usage. Peer comparison audit and feedback (A&F) is often used to reduce inappropriate antibiotic prescribing. The design and implementation of A&F may impact its effectiveness. There are no best practice guidelines for peer comparison A&F in antibiotic prescribing in primary care. Objective To develop best practice guidelines for peer comparison A&F for antibiotic prescribing in primary care in high income countries by leveraging international expertise via the Joint Programming Initiative on Antimicrobial Resistance—Primary Care Antibiotic Audit and Feedback Network. Methods We used a modified Delphi process to achieve convergence of expert opinions on best practice statements for peer comparison A&F based on existing evidence and theory. Three rounds were performed, each with online surveys and virtual meetings to enable discussion and rating of each best practice statement. A five-point Likert scale was used to rate consensus with a median threshold score of 4 to indicate a consensus statement. Results The final set of guidelines include 13 best practice statements in four categories: general considerations (n = 3), selecting feedback recipients (n = 1), data and indicator selection (n = 4), and feedback delivery (n = 5). Conclusion We report an expert-derived best practice recommendations for designing and evaluating peer comparison A&F for antibiotic prescribing in primary care. These 13 statements can be used by A&F designers to optimize the impact of their quality improvement interventions, and improve antibiotic prescribing in primary care.https://doi.org/10.1186/s13756-023-01279-z |
| spellingShingle | Kevin L. Schwartz Alice X. T. Xu Sarah Alderson Lars Bjerrum Jamie Brehaut Benjamin C. Brown Heiner C. Bucher An De Sutter Nick Francis Jeremy Grimshaw Ronny Gunnarsson Sigurd Hoye Noah Ivers Donna M. Lecky Morten Lindbæk Jeffrey A. Linder Paul Little Benedikte Olsen Michalsen Denise O’Connor Celine Pulcini Pär-Daniel Sundvall Pia Touboul Lundgren Jan Y. Verbakel Theo J. Verheij Best practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN) Antimicrobial Resistance and Infection Control |
| title | Best practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN) |
| title_full | Best practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN) |
| title_fullStr | Best practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN) |
| title_full_unstemmed | Best practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN) |
| title_short | Best practice guidance for antibiotic audit and feedback interventions in primary care: a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN) |
| title_sort | best practice guidance for antibiotic audit and feedback interventions in primary care a modified delphi study from the joint programming initiative on antimicrobial resistance primary care antibiotic audit and feedback network jpiamr paan |
| url | https://doi.org/10.1186/s13756-023-01279-z |
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