2022
The protocol of improving safe antibiotic prescribing in telehealth: A randomized trial
McCabe B, Linder J, Doctor J, Friedberg M, Fox C, Goldstein N, Knight T, Kaiser K, Tibbels J, Haenchen S, Persell S, Warberg R, Meeker D. The protocol of improving safe antibiotic prescribing in telehealth: A randomized trial. Contemporary Clinical Trials 2022, 119: 106834. PMID: 35724841, DOI: 10.1016/j.cct.2022.106834.Peer-Reviewed Original ResearchConceptsAcute respiratory infectionsInappropriate antibiotic prescribingAntibiotic prescribing ratesAntibiotic prescribingPrescribing ratesRandomized quality improvement trialAntibiotic stewardship interventionsInappropriate antibiotic prescriptionsUrgent care visitsPrevious randomized trialsPrimary care clinicsQuality improvement trialEffective antibiotic useElectronic health recordsARI visitsInappropriate prescribingAntibiotic prescriptionsCare visitsSecondary outcomesPrimary outcomeRespiratory infectionsCare clinicsRandomized trialsStewardship interventionsAntibiotic use
2019
A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings
Yadav K, Meeker D, Mistry R, Doctor J, Fleming‐Dutra K, Fleischman R, Gaona S, Stahmer A, May L. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. Academic Emergency Medicine 2019, 26: 719-731. PMID: 31215721, PMCID: PMC8146207, DOI: 10.1111/acem.13690.Peer-Reviewed Original ResearchConceptsAcute respiratory infectionsEmergency departmentARI visitsRespiratory infectionsStewardship interventionsUrgent care center visitsViral acute respiratory infectionsHierarchical mixed-effects logistic regression modelsCluster-randomized clinical trialHealth systemAntibiotic stewardship interventionsUrgent care settingsOutpatient antibiotic prescriptionsPediatric emergency departmentMixed effects logistic regression modelsAcademic health systemLogistic regression modelsInappropriate prescribingAntibiotic prescribingAntibiotic prescriptionsInappropriate prescriptionsInfluenza seasonAntibiotic stewardshipClinical trialsOdds ratio
2018
1633. A Multifaceted Intervention to Improve Prescribing for Acute Respiratory Infection in Adults and Children in Emergency Department and Urgent Care Settings (MITIGATE Trial)
Yadav K, Meeker D, Mistry R, Doctor J, Fleming-Dutra K, Fleischman R, Gaona S, Stahmer A, May L. 1633. A Multifaceted Intervention to Improve Prescribing for Acute Respiratory Infection in Adults and Children in Emergency Department and Urgent Care Settings (MITIGATE Trial). Open Forum Infectious Diseases 2018, 5: s43-s43. PMCID: PMC6252972, DOI: 10.1093/ofid/ofy209.103.Peer-Reviewed Original ResearchAcute respiratory infectionsEmergency departmentRespiratory infectionsAntibiotic useCare settingsUrgent care center visitsViral acute respiratory infectionsHierarchical mixed-effects logistic regression modelsHealth systemOverall antibiotic prescribingUnnecessary antibiotic useUrgent care settingsAcute care settingInappropriate antibiotic usePediatric emergency departmentMixed effects logistic regression modelsAcademic health systemLow baseline ratesEffects logistic regression modelsImplementation science strategiesLogistic regression modelsARI visitsInappropriate prescribingAdverse eventsAntibiotic prescribing
2016
Behavioral interventions to reduce inappropriate antibiotic prescribing: a randomized pilot trial
Persell S, Doctor J, Friedberg M, Meeker D, Friesema E, Cooper A, Haryani A, Gregory D, Fox C, Goldstein N, Linder J. Behavioral interventions to reduce inappropriate antibiotic prescribing: a randomized pilot trial. BMC Infectious Diseases 2016, 16: 373. PMID: 27495917, PMCID: PMC4975897, DOI: 10.1186/s12879-016-1715-8.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdultAnti-Bacterial AgentsBehaviorDecision MakingDecision Support Systems, ClinicalEducation, Medical, ContinuingFemaleHumansInappropriate PrescribingInterprofessional RelationsMaleMiddle AgedPharyngitisPhysicians, Primary CarePilot ProjectsPractice Patterns, Physicians'PrescriptionsRespiratory Tract InfectionsSinusitisConceptsAcute respiratory infectionsInappropriate antibiotic prescribingAntibiotic prescribingRespiratory infectionsDiagnosis/symptomsARI diagnosesBehavioral interventionsAntibiotic prescribing ratesRandomized pilot trialPre-intervention yearInappropriate prescribingPrescribing ratesCare cliniciansAccountable justificationPilot trialPrescribingIntervention yearPharyngitisInfectionFloor effectsSymptomsDiagnosisPeer comparisonInterventionHawthorne effect
2013
Use of behavioral economics and social psychology to improve treatment of acute respiratory infections (BEARI): rationale and design of a cluster randomized controlled trial [1RC4AG039115-01] - study protocol and baseline practice and provider characteristics
Persell S, Friedberg M, Meeker D, Linder J, Fox C, Goldstein N, Shah P, Knight T, Doctor J. Use of behavioral economics and social psychology to improve treatment of acute respiratory infections (BEARI): rationale and design of a cluster randomized controlled trial [1RC4AG039115-01] - study protocol and baseline practice and provider characteristics. BMC Infectious Diseases 2013, 13: 290. PMID: 23806017, PMCID: PMC3701464, DOI: 10.1186/1471-2334-13-290.Peer-Reviewed Original ResearchConceptsAcute respiratory infectionsInappropriate antibiotic prescribingAntibiotic prescribingInappropriate prescribingRespiratory infectionsComputerized clinical decision supportAntibiotic prescribing ratesTrial study protocolInappropriate antibiotic useAdverse drug eventsCost of careUnit of randomizationPatients' electronic health recordsElectronic health recordsPersistence of effectsARI diagnosesNonbacterial infectionsAntibiotic prescriptionsSecondary outcomesClinical decision supportPrescribing ratesPrimary outcomeBehavioral economic strategiesGuideline recommendationsYear follow