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A randomized controlled trial of point-of-care evidence to improve the antibiotic prescribing practices for otitis media in children

Authors

Christakis DA, Zimmerman FJ, Wright JA, Garrison MM, Rivara FP, Davis RL

Journal

Pediatrics

Publication Date

2001 Feb

Volume

107

Issue

Pages

E15

HIT Description: Computerized decision-support system More info...
Purpose of Study: To determine whether a point-of-care delivery of evidence for otitis media treatment affects antibiotic prescribing practices.
Years of study: Not Available
Study Design: Randomized control trial
Outcomes: Proportion of antibiotic prescriptions for otitis media with duration 10 days, frequency of antibiotic prescriptions for otitis media.

Summary:

Settings: Outpatient pediatric teaching clinic affiliated with a university medical center.
Intervention: Point-of-care messaging system to pediatric providers regarding antibiotic prescribing practices for otitis media.
Evaluation Method: : Pre-intervention collection of prescribing data, and post-intervention analysis of data captured by computerized decision-support system.
HIT System: Prescribing/Decision-support tool developed on-site as part of a patient flow manager.
Healthcare Utilization: Greater reduction in the proportion of antibiotics prescribed for > 10 days and less frequent prescribing of antibiotics for otitis media (intervention vs. control)

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