Outcome | Baseline group | Academic detailing group | Computerised decision support group | P value# |
---|---|---|---|---|
N = 392 | N = 215 | N = 133 | ||
Patients receiving recommended antibiotic cover for typical and atypical pathogens* | 211/341 61.9% | 143/208 68.7% | 113/126 89.7% | <0.01 |
Patients requiring ICU who went direct from ED | 17/26 65.0% | 9/12 75.0% | 8/10 80% | 0.68 |
Patients requiring ICU who received appropriate empiric broad spectrum antibiotics# | 12/25 48.0% | 5/11 45.0% | 9/10 90% | <0.01 |
PSI class V patients who received appropriate empiric broad spectrum antibiotics# | 9/70 12.8% | 4/43 9.3% | 10/38 26.3% | <0.01 |
PSI class IV&V patients who received appropriate empiric broad spectrum antibiotics # | 30/341 8.6% | 9/208 4.3% | 5/39 12.8% | <0.01 |
CURB 'severe' patients who received appropriate empiric broad spectrum antibiotics# | 14/155 9.0% | 7/80 8.7% | 20/49 40.8% | <0.01 |
Patients who received an antibiotic to which they had a known allergy | 11/42 26.2% | 6/23 26.1% | 3/21 14.3% | 0.50 |
Time from ED presentation to administration of antibiotic: median (range) | 171 minutes (15–1969) | 158 minutes (15–1154) | 142 minutes (10–1190) | <0.01 |
Average cost of antibiotics for pneumonia per patient | $72.07 | $94.47 | $84.04 | NA |