Peer Comparison Feedback for Antimicrobial Stewardship
(PEER AIMS Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new method to encourage doctors to use antibiotics more wisely in hospitals. Doctors in the study receive a Peer Comparison Feedback Report, which compares their antibiotic prescribing habits to their peers, along with a toolkit on best practices for antimicrobial use. The goal is to determine if these tools help reduce unnecessary antibiotic use. Physicians working in general medicine who have managed at least 50 hospitalizations qualify for this trial. As an unphased trial, this study offers a unique opportunity to contribute to improving antibiotic use in healthcare settings.
Do I need to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It focuses on evaluating antimicrobial use by physicians, so it might not directly affect your medication regimen.
What prior data suggests that this peer comparison feedback report is safe?
Previous studies have shown that comparing doctors' antibiotic prescribing habits with their peers is safe. This method involves showing doctors how their antibiotic use compares to others, aiming to reduce unnecessary antibiotic use. Research indicates that this approach can lead to small but meaningful reductions in antibiotic prescriptions without causing harm. No reports of negative effects from this type of feedback exist. Essentially, it is just information shared with doctors, posing no health risks to patients.12345
Why are researchers excited about this trial?
Researchers are excited about the Peer Comparison Feedback Report because it introduces a unique approach to improving antimicrobial prescribing practices among healthcare professionals. Unlike traditional methods that rely on guidelines and educational materials, this method uses peer comparison to provide direct feedback on prescribing behavior. By showing how a doctor's prescribing habits compare to their peers, it encourages more responsible use of antimicrobials. This innovative strategy aims to enhance awareness and accountability, potentially reducing unnecessary antibiotic use and combating antibiotic resistance more effectively.
What evidence suggests that peer comparison feedback is effective for reducing antimicrobial use?
This trial will compare the effects of peer comparison feedback on antimicrobial prescribing practices. Research has shown that feedback comparing doctors' antibiotic use to their peers can help reduce unnecessary prescriptions. In one study, doctors who received personalized feedback prescribed shorter courses of antibiotics than those who did not. Another study found that sending feedback letters to primary care doctors led to a significant decrease in overall antibiotic prescriptions. Participants in the intervention group of this trial will receive an electronic peer-comparison feedback report and a knowledge toolkit about antimicrobial use. These reports show doctors how their prescribing habits compare to others, encouraging better choices. Overall, peer feedback effectively promotes responsible antibiotic use.46789
Who Is on the Research Team?
Fahad Razak, MD
Principal Investigator
St. Michael's Hospital - Unity Health Toronto
Are You a Good Fit for This Trial?
This trial is for general medicine physicians who prescribe antimicrobials in hospitals. It's designed to see if showing doctors how their prescribing compares with peers, along with a toolkit of best practices, can reduce the amount of drugs used.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants in the intervention group receive an electronic peer-comparison feedback report and a knowledge toolkit about antimicrobial use
Follow-up
Participants are monitored for safety and effectiveness after intervention delivery
What Are the Treatments Tested in This Trial?
Interventions
- Peer Comparison Feedback Report
Trial Overview
The intervention being tested is a peer comparison feedback report that shows doctors their antimicrobial prescribing volume compared to others. The study uses data from over 30 Ontario hospitals and includes a best practices toolkit.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
The intervention group will receive an electronic peer-comparison feedback report on their antimicrobial prescribing practices and a knowledge toolkit about antimicrobial use, bundled as a single intervention.
The control group will not receive a peer-comparison feedback report on their antimicrobial prescribing practices, or a knowledge toolkit on antimicrobial use.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Fahad Razak
Lead Sponsor
Sinai Health System
Collaborator
Unity Health Toronto
Collaborator
Canadian Institutes of Health Research (CIHR)
Collaborator
Citations
Population-Wide Peer Comparison Audit and Feedback to ...
In total, 895 (72%) physicians received no feedback; 343 (28%) were enrolled to receive audit and feedback and randomized 1:1 to static or dynamic reports. The ...
Peer Comparison Feedback Report in Antimicrobial ...
The study also aims to understand the qualitative and quantitative impact of peer comparison feedback on antimicrobial prescribing in hospital.
Spillover From an Intervention on Antibiotic Prescribing for ...
The audit-and-feedback approach aims to optimize the effectiveness of antimicrobial stewardship programs. Studies have shown that ...
Evaluation of an automated feedback intervention to improve ...
The results showed that physicians who received personalized feedback reports prescribed shorter courses of antibiotics compared to controls, ...
Mailed feedback to primary care physicians on antibiotic ...
Peer comparison audit and feedback letters significantly reduced overall antibiotic prescribing with no benefit of case-mix adjustment or harms messaging.
Population-Wide Peer Comparison Audit and Feedback to ...
Peer comparison audit and feedback is a pragmatic intervention that can generate small relative reductions in the use of antibiotics for prolonged durations.
Peer Comparison Feedback As An Antimicrobial Prescribing ...
The purpose of this study is to evaluate the effect of a peer comparison feedback report, combined with a best practices toolkit, ...
Pragmatic randomised trial assessing the impact of peer ...
The AF contained personalised and peer-comparison data on first-line antibiotic prescriptions for women with uncomplicated lower UTI and key therapeutic ...
Audit and Feedback Interventions for Antibiotic Prescribing in ...
This systematic review included 56 randomized trials testing the effect of audit and feedback interventions to improve antibiotic prescribing in primary ca.
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