Association Between Peer Comparison Feedback and Hospitalist Antibiotic Prescribing

Can peer comparison feedback about broad-spectrum antibiotic orders decrease hospitalists’ prescribing of these antibiotics?In this quality improvement study among 169 hospitalists, clinician-specific feedback using peer benchmarking was not associated with subsequent changes to hospitalist prescribing of broad-spectrum antibiotics with activity against when preexisting changes in prescribing over time were included in multivariable analysis.In this study, peer comparison benchmarking for hospitalist prescribing of broad-spectrum antibiotics was not associated with prescribing habits beyond a concurrent, preexisting decrease in prescribing; however, the findings suggest this intervention could be optimized for improved efficacy.

Corresponding Author: Lucy S. Witt, MD, MPH, MSc, Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, 101 Woodruff Cir, Ste 2101, Atlanta, GA 30322 (lwitt@emory.edu).

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