Microbiology Comment Nudge Improves Pneumonia Prescribing

Authors

Mary A. Musgrove, Henry Ford Health
Rachel M. Kenney, Henry Ford HealthFollow
Ronald E. Kendall, Henry Ford HealthFollow
Michael Peters, Henry Ford HealthFollow
Robert J. Tibbetts, Henry Ford HealthFollow
Linoj Samuel, Henry Ford HealthFollow
Susan L. Davis, Henry Ford HealthFollow

Recommended Citation

Musgrove MA, Kenney RM, Kendall RE, Peters M, Tibbetts R, Samuel L, and Davis SL. Microbiology comment nudge improves pneumonia prescribing Open Forum Infect Dis 2018 Jul 10;5(7):ofy162

Document Type

Article

Publication Date

7-1-2018

Publication Title

Open Forum Infect Dis

Abstract

Background: Systematic and behavioral interventions are needed to improve antibiotic use for common conditions like pneumonia.

Methods: Single pretest, post-test quasi-experiment in a 4-hospital health system in metropolitan Detroit, Michigan. Hospitalized patients treated with anti-methicillin-resistant

Results: Two hundred ten patients were included in the study. De-escalation/discontinuation was more commonly performed in the intervention group (39% vs 73%,

Conclusion: A simple, behavioral nudge in microbiology reporting increased de-escalation and discontinuation of unnecessary broad-spectrum antibiotics. This highlights the importance of clear, persuasive communication of diagnostic testing in improving antibiotic prescribing behaviors.

PubMed ID

30057928

Volume

5

Issue

7

First Page

ofy162