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)
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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). / Schwartz, Kevin L.; Xu, Alice X.T.; Alderson, Sarah; Bjerrum, Lars; Brehaut, Jamie; Brown, Benjamin C.; Bucher, Heiner C.; De Sutter, An; Francis, Nick; Grimshaw, Jeremy; Gunnarsson, Ronny; Hoye, Sigurd; Ivers, Noah; Lecky, Donna M.; Lindbæk, Morten; Linder, Jeffrey A.; Little, Paul; Michalsen, Benedikte Olsen; O'Connor, Denise; Pulcini, Celine; Sundvall, Pär Daniel; Lundgren, Pia Touboul; Verbakel, Jan Y.; Verheij, Theo J.
I: Antimicrobial Resistance and Infection Control, Bind 12, Nr. 1, 72, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Best practice guidance for antibiotic audit and feedback interventions in primary care
T2 - a modified Delphi study from the Joint Programming Initiative on Antimicrobial resistance: Primary Care Antibiotic Audit and Feedback Network (JPIAMR-PAAN)
AU - Schwartz, Kevin L.
AU - Xu, Alice X.T.
AU - Alderson, Sarah
AU - Bjerrum, Lars
AU - Brehaut, Jamie
AU - Brown, Benjamin C.
AU - Bucher, Heiner C.
AU - De Sutter, An
AU - Francis, Nick
AU - Grimshaw, Jeremy
AU - Gunnarsson, Ronny
AU - Hoye, Sigurd
AU - Ivers, Noah
AU - Lecky, Donna M.
AU - Lindbæk, Morten
AU - Linder, Jeffrey A.
AU - Little, Paul
AU - Michalsen, Benedikte Olsen
AU - O'Connor, Denise
AU - Pulcini, Celine
AU - Sundvall, Pär Daniel
AU - Lundgren, Pia Touboul
AU - Verbakel, Jan Y.
AU - Verheij, Theo J.
N1 - Publisher Copyright: © 2023. Crown.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
U2 - 10.1186/s13756-023-01279-z
DO - 10.1186/s13756-023-01279-z
M3 - Journal article
C2 - 37516892
AN - SCOPUS:85165978540
VL - 12
JO - Antimicrobial Resistance and Infection Control
JF - Antimicrobial Resistance and Infection Control
SN - 2047-2994
IS - 1
M1 - 72
ER -
ID: 362543439