Almatar, M and Peterson, GM and Thompson, A and McKenzie, D and Anderson, T and Zaidi, STR, Clinical pathway and monthly feedback improve adherence to antibiotic guideline recommendations for community-acquired pneumonia, PLoS One, 11, (7) Article e0159467. ISSN 1932-6203 (2016) [Refereed Article]
Copyright The Authors Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/
Methods: Two distinct interventions were implemented over specific time periods. The first intervention was educational, focusing on the development of local CAP guidelines and their dissemination through hospital-wide educational programmes. The second intervention was a targeted one for the emergency department, where a clinical pathway for the initial management of CAP patients was introduced, followed by monthly feedback to the emergency department (ED) physicians about concordance rates with the guidelines. Data on the concordance rate to CAP guidelines was collected from a retrospective chart review.
Results: A total of 398 eligible patient records were reviewed to measure concordance to CAP guidelines over the study period. Concordance rates during the baseline and educational intervention periods were similar (28.1% vs. 31.2%; p > 0.05). Significantly more patients were treated in accordance with the CAP guidelines after the ED focused intervention when compared to the baseline (61.5% vs. 28.1%; p < 0.05) or educational period (61.5% vs. 31.2%; p < 0.05).
Conclusions: A targeted intervention with a CAP clinical pathway and monthly feedback was a successful strategy to increase adherence to empirical antibiotic recommendations in CAP guidelines.
|Item Type:||Refereed Article|
|Keywords:||guidelines, concordance, physicians, pneumonia, antibiotics, pathway|
|Research Division:||Medical and Health Sciences|
|Research Group:||Clinical Sciences|
|Research Field:||Infectious Diseases|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Infectious Diseases|
|UTAS Author:||Almatar, M (Mr Maher Almatar)|
|UTAS Author:||Peterson, GM (Professor Gregory Peterson)|
|UTAS Author:||Thompson, A (Mr Angus Thompson)|
|UTAS Author:||Zaidi, STR (Dr Tabish Razi Zaidi)|
|Web of Science® Times Cited:||4|
|Downloads:||132 View Download Statistics|
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