Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial.
Approach to Improving Safety
Setting of Care
In this cluster randomized trial among 47 primary care practices, prompting clinicians to enter justifications for prescribing antibiotics in patients with antibiotic-inappropriate diagnoses or providing peer comparisons through emails decreased mean antibiotic prescribing rates compared to controls. Antibiotics are a significant source of medical care overuse and inappropriate prescriptions can lead to avoidable harms.