Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.

Keri J.S Brady; Tamar F Barlam; Mickey T Trockel; Pengsheng Ni; R. Christopher Sheldrick; Jeffrey I Schneider; Susannah G Rowe; Lewis E Kazis

Study

Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.

May 11, 2022

Brady KJS, Barlam TF, Trockel MT, et al. Jt Comm J Qual Patient Saf. 2022;48(5):287-297.

View more articles from the same authors.

Inappropriate prescribing of antibiotics to treat viral illnesses is an ongoing patient safety threat. This study examined the association between clinician depression, anxiety, and burnout and inappropriate prescribing of antibiotics for acute respiratory tract infections (RTIs) in outpatient care. Depression and anxiety, but not burnout, were associated with increased adjusted odds of inappropriate prescribing for RTIs.

PubMed citation

Available at

Related Resources From the Same Author(s)

Physician task load and the risk of burnout among US physicians in a national survey.

December 2, 2020

A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad.

January 12, 2022

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review.

January 25, 2023

Handoffs and teamwork: a framework for care transition communication.

June 29, 2022

A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit.

October 5, 2022

Diagnostic trajectories in primary care at 12 months: an observational cohort study.

June 15, 2022

Organizational readiness to change as a leverage point for improving safety: a national nursing home survey.

September 8, 2021

Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care.

May 11, 2022

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review.

July 14, 2021

Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework.

April 27, 2022

Building a program of expanded peer support for the entire health care team: no one left behind.

October 13, 2021

A multisite study of interprofessional teamwork and collaboration on general medical services.

November 25, 2020

Providers' and patients' perspectives on diagnostic errors in the acute care setting.

February 15, 2023

A comprehensive departmental care review model: requirements, structure, and flow.

June 30, 2021

Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU.

December 9, 2020

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study.

April 28, 2021

A model for improving health care quality for transgender and gender nonconforming patients.

January 23, 2020

Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.

July 21, 2021

Adverse events present on arrival to the emergency department: the ED as a dual safety net.

March 11, 2020

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors.

October 27, 2021

Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.

January 13, 2021

Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.

April 21, 2021

Bracing for the storm: one health care system's planning for the COVID-19 surge.

November 11, 2020

Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.

August 12, 2020

Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department.

October 14, 2020

Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports.

November 3, 2021

Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.

February 2, 2022

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care.

June 29, 2022

Medication rounds: a tool to promote medication safety for children with medical complexity.

March 8, 2023

Improving timely recognition and treatment of sepsis in the pediatric ICU.

May 27, 2020

Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.

June 24, 2020

Interprofessional training and communication practices among clinicians in the postoperative ICU handoff.

April 28, 2021

Reporting of unsafe conditions at an academic women and children's hospital.

September 29, 2021

Assessment of patient retention of inpatient care information post-hospitalization.

February 22, 2023

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing.

January 18, 2023

Detecting and assessing suicide ideation during the COVID-19 pandemic.

May 26, 2021

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.

October 14, 2020

Implementing universal suicide risk screening in a pediatric hospital.

August 18, 2021

Don't go to the hospital alone: ensuring safe, highly reliable patient visitation.

January 12, 2022

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.

December 2, 2020

How to mitigate the effects of cognitive biases during patient safety incident investigations.

September 28, 2022

The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.

July 25, 2018

Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives.

June 6, 2018

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.

May 5, 2021

Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors.

October 12, 2022

Lessons learned from a systems approach to engaging patients and families in patient safety transformation.

February 12, 2020

Universal protection: operationalizing infection prevention guidance in the COVID-19 era.

May 12, 2021

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.

October 26, 2022

Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care.

June 16, 2021

A program to provide clinicians with feedback on their diagnostic performance in a learning health system.

October 28, 2020

Time to take hearing loss seriously.

February 19, 2020

The Sepsis Early Recognition and Response Initiative (SERRI).

March 9, 2016

Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses.

February 15, 2023

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review.

August 10, 2022

Development and validation of a brief culture-of-safety survey.

June 22, 2022

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.

September 23, 2020

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

January 9, 2019

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.

April 5, 2023

Association of physician burnout with suicidal ideation and medical errors.

January 27, 2021

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services.

July 7, 2021

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.

September 14, 2022

Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.

September 16, 2020

Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization.

May 12, 2021

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues.

December 8, 2021

Variation in the reporting of elective surgeries and its influence on patient safety indicators.

July 6, 2022

Hospital at Home: setting a regulatory course to ensure safe, high-quality care.

February 2, 2022

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

Prevalence and characteristics of interruptions and distractions during surgical counts.

July 28, 2021

Assessing and supporting late career practitioners: four key questions.

September 30, 2020

Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology.

November 18, 2020

Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care.

August 24, 2022

Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study.

February 15, 2023

Incident reporting systems: what will it take to make them less frustrating and achieve anything useful?

December 1, 2021

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items.

November 30, 2022

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.

August 1, 2012

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative.

October 5, 2022

Anesthesiology patient handoff education interventions: a systematic review.

March 29, 2023

Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.

January 9, 2019

A contemporary analysis of closed claims related to wrong site surgery.

March 29, 2023

An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement.

October 19, 2022

Inpatient patient safety events in vulnerable populations: a retrospective cohort study.

November 18, 2020

Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review.

March 30, 2022

Lessons from walking the medical distancing tightrope.

July 22, 2020

Factors associated with malpractice claim payout: an analysis of closed emergency department claims.

July 13, 2022

Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being.

February 1, 2023

Medication reconciliation in ambulatory oncology.

December 5, 2007

A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period.

July 17, 2013

Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration.

June 23, 2021

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command.

October 7, 2020

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.

April 20, 2022

Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data.

October 7, 2020

Root cause analysis of ICU adverse events in the Veterans Health Administration.

August 30, 2017

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.

December 12, 2018

Related Resources

"You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety.

August 2, 2023

CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.

November 16, 2022

‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities.

October 26, 2022

Interdisciplinary clinicians' attitudes, challenges, and success strategies in providing care to transgender people: a qualitative descriptive study.

October 19, 2022

Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial.

September 7, 2022

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation.

July 20, 2022

Medical Office Survey on Patient Safety Culture.

September 1, 2021

Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions.

June 23, 2021

A program to provide clinicians with feedback on their diagnostic performance in a learning health system.

October 28, 2020

Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England.

February 27, 2019

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.

March 5, 2014

From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions.

February 26, 2014

Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners.

November 6, 2013

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.

September 11, 2013

Impact of individual and team features of patient safety climate: a survey in family practices.

August 14, 2013

Information technology interventions to improve medication safety in primary care: a systematic review.

July 10, 2013

Safety climate and its association with office type and team involvement in primary care.

May 29, 2013

Reasons for not reporting patient safety incidents in general practice: a qualitative study.

January 30, 2013

The relationship of self-report of quality to practice size and health information technology.

October 10, 2012

Are health professionals' perceptions of patient safety related to figures on safety incidents?

September 19, 2012

Medication safety in primary care practice: results from a PPRNet quality improvement intervention.

July 11, 2012

Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study.

May 16, 2012

Tolerance of uncertainty and fears of making mistakes among fifth-year medical students.

May 9, 2012

Medical errors reported by French general practitioners in training: results of a survey and individual interviews.

April 4, 2012

Medication reconciliation campaign in a clinic for homeless patients.

April 4, 2012

Emotional impact of patient safety incidents on family physicians and their office staff.

March 21, 2012

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.

March 21, 2012

Measuring perceptions of safety climate in primary care: a cross-sectional study.

February 29, 2012

Better medical office safety culture is not associated with better scores on quality measures.

January 11, 2012

Ambulatory prescribing errors among community-based providers in two states.

December 21, 2011

See More About The Topic

Emergency Departments

Ambulatory Clinic or Office

Health Care Providers

Organizational Behaviorists

Emergency Medicine

Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site