/ Geza Farkas, stock.adobe.com
Cologne – Expert feedback can improve medical antibiotic prescribing decisions. This is demonstrated by an interdisciplinary study conducted by Daniel Wiesen of the Department of General Business Administration and Health Management at the University of Cologne. In particular, inexperienced physicians then benefit from feedback from experts. The study is in a journal Making medical decisions published (doi 10.1177 / 0272989X19866699).
Excessive use of antibiotics is known to contribute to the development of antibiotic resistance. Authors, especially in children, inappropriate use of antibiotics can have short-term and long-term effects on health and development, according to the authors. In an experimental study with pediatricians, a team at the University of Cologne explored an innovative approach to improving antibiotic prescribing behavior.
73 doctors participated in an experimental study in which day-to-day decisions were controlled. The experiment consisted of 3 phases. At each stage, participants were asked to decide for 40 hypothetical patients whether and for how long to prescribe antibiotics.
At the beginning of Phase 2, trainees were told that they would receive feedback from experts about their therapy decisions. This was based on the recommendations of the directors of German children's hospitals.
Expert feedback during the study showed that the chosen duration of treatment decreased on average by about one day (10% of the original duration). "Also, the deviation of pediatricians' decisions from the recommendations of experts has significantly decreased," the scientists said.
Surprised that a simple approach like providing feedback from a specialist can "have such a great effect on medical prescriptions," Wiesen said. "We can say that giving expert feedback has resulted in a more appropriate choice of therapy," he concludes. © ML / equilibreplus.com