Making Evidence Accessible to Clinicians Reduces Antibiotic Use
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A Canadian study found that integrating BMJ Clinical Evidence into a computerized physician order entry system was associated with a significant reduction in antibiotic prescription rates for children ages 2 weeks to 2 years presenting with bronchiolitis. The study reviewed antibiotic use for 334 children before and after integration, finding a decrease from 35% receiving antibiotics to 22%. Readily accessible clinical evidence at the point of care may help reduce unnecessary antibiotic use.
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Making Evidence Accessible to Clinicians Reduces Antibiotic Use
- 1. Making evidence accessible to clinicians Dr Charles Young Editor, BMJ Clinical Evidence
- 3. Practical versus Conceptual conceptual access practical
- 4. Progress
- 5. Practical issues Haynes RB, ACP J Club 2006; 145(3):A8
- 8. Progress
- 9. Practical issues Haynes RB, ACP J Club 2006; 145(3):A8
- 10. Words, numbers, or pictures? Authors' conclusions The small number of randomised controlled trials, together with the poor methodological quality and significant clinical heterogeneity, means that the current evidence is not sufficiently extensive or rigorous to support the use of any form of acupuncture for the treatment of insomnia. Larger high quality clinical trials employing appropriate randomisation concealment and blinding with longer follow-up are needed to further investigate the efficacy and safety of acupuncture for the treatment of insomnia. Sleep quality (primary outcome) Two studies reported an outcome of post-treatment sleep quality ( Tsay 2003 ; Tsay 2004 ) that was better in the treatment group, and the combined result reached statistical significance ( SMD = -0.55, 95% CI = -0.89 to -0.21, p=0.002 ) (Figure 01.03). A change in sleep quality score was reported by Chen 1999 that was significantly better in the treatment group ( SMD = -2.49, 95% CI = -3.20 to -1.78, p<0.00001 ) (Figure 01.04). Cheuk D, Yeung W, Chung K, Wong V. Cochrane Database Syst Rev. 2007 Jul 18;(3):CD005472.
- 11. Doubt
- 12. Doubt
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- 18. GRADE
- 19. GRADE
- 20. GRADE
- 22. St Thomas’ Hospital ED
- 23. St Thomas’ ED
- 24. Integration
- 25. Integration
- 26. Practical versus Conceptual conceptual access practical
- 27. Spot the odd one out? ‘ Drug 'ends need for mastectomy’ ‘ Herceptin eradicates aggressive tumors: study’