Antibiotic stewardship reduces unnecessary prescriptions northwesternu jamanetworkopen
To develop and implement antibiotic stewardship activities in urgent care targeting non–antibiotic-appropriate acute respiratory tract infections that also reduces overall antibiotic prescribing and maintains patient satisfaction.Patients and clinicians at the urgent care clinics of an integrated academic health system.The stewardship activities started in fiscal 2020 and included measure development, comparative feedback, and clinician and patient education.
The antibiotic prescribing rate decreased for stewardship-measure visits from 34% in FY19 to 12% in FY21 . The antibiotic prescribing rate decreased for diagnosis-shifting visits from 63% to 35% , and the antibiotic prescribing rate decreased overall from 30% to 10% . The patient satisfaction rate increased from 83% in FY19 to 89% in FY20 and FY21. There was no significant association between antibiotic prescribing rates of individual clinicians and ARI visit patient satisfaction.
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