id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-265348-hnu8gw6w	Buising, Kirsty L	Improving antibiotic prescribing for adults with community acquired pneumonia: Does a computerised decision support system achieve more than academic detailing alone? – a time series analysis	2008-07-31		.txt	text/plain	4598	251	46	This study evaluates the impact of academic detailing and a computerised decision support system (CDSS) on clinicians' prescribing behaviour for patients with community acquired pneumonia (CAP). The rate of empiric antibiotic prescribing that was concordant with recommendations was studied over time comparing pre and post periods and using an interrupted time series analysis. During the first months of the computerised decision support period an improvement in the appropriateness of antibiotic prescribing was demonstrated, which was greater than that expected to have occurred with time and academic detailing alone, based on predictions from a binary logistic model. CONCLUSION: Deployment of a computerised decision support system was associated with an early improvement in antibiotic prescribing practices which was greater than the changes seen with academic detailing. Similarly, the proportion of patients requiring ICU management at any time during their admission who were initially prescribed the recommended empiric broad spectrum antibiotics for severe pneumonia in the ED was compared.	./cache/cord-265348-hnu8gw6w.txt	./txt/cord-265348-hnu8gw6w.txt