Department of Pediatrics, Denver Health and Hospital Authority, Denver, CO; Center for Health Systems Research, Denver Health and Hospital Authority, Denver, CO; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
Center for Health Systems Research, Denver Health and Hospital Authority, Denver, CO.
J Pediatr. 2023 Feb;253:292-296.e2. doi: 10.1016/j.jpeds.2022.09.004. Epub 2022 Sep 9.
Two low-cost pragmatic interventions (change in the options in the electronic health record; change in the electronic health record plus education plus feedback comparing prescribing with peers) to improve prescribing of guideline-concordant short antibiotic durations for children 2 years and older with uncomplicated acute otitis media were highly effective and results were sustained 18 months after discontinuation of the active components of the interventions.
两种低成本实用干预措施(改变电子健康记录中的选项;改变电子健康记录加教育加反馈,比较与同行的处方)可有效改善儿童 2 岁及以上单纯性急性中耳炎指南一致的短疗程抗生素处方,干预措施的活性成分停止使用 18 个月后,效果仍持续。