Off-target Impact of Clinician Feedback Reports on Antibiotic Use in Children With Medical Complexity Hospitalized With Community-Acquired Pneumonia
In prior work, we demonstrated that clinician audit and feedback reports summarizing adherence to appropriate antibiotic choice and duration metrics in previously healthy children with nonsevere community-acquired pneumonia were associated with improved antibiotic use in this population. In this exploratory study, we evaluated the off-target impact of these reports on antibiotic choice and duration in a small cohort of medically complex children cared for concurrently by these same clinicians. The feedback report-based intervention was also associated with an increase in adherence to the appropriate antibiotic choice and duration metrics among the medically complex children, despite these children being excluded from the reports. These preliminary, hypothesis-generating findings provide proof-of-principle that the impact of clinician feedback reports is broader than the population specifically included in the report, and should inform future studies evaluating the safety and effectiveness of feedback-report-based interventions.
Authors
- Didien Meyahnwi
- Robert W. Grundmeier (ORCID: https://orcid.org/0000-0002-8290-5588)
- Keith Hamilton (ORCID: https://orcid.org/0000-0002-4585-5956)
- Lauri A. Hicks (ORCID: https://orcid.org/0000-0002-2383-9357)
- Anne Jaskowiak‐Barr
- Kathleen Chiotos (ORCID: https://orcid.org/0000-0002-0204-8708)
- Jessica Hart (ORCID: https://orcid.org/0000-0003-3350-032X)
- Lauren Dutcher (ORCID: https://orcid.org/0000-0001-5011-7950)
- Jeffrey S. Gerber (ORCID: https://orcid.org/0000-0002-3076-3186)
- Emily Kane
- Brandi M Muller (ORCID: https://orcid.org/0009-0002-1119-9249)
- Julia E. Szymczak (ORCID: https://orcid.org/0000-0002-3230-8670)
- Morgan Congdon (ORCID: https://orcid.org/0000-0002-8528-0480)
- Levon Utidjian
- Leigh Cressman (ORCID: https://orcid.org/0009-0003-9784-6458)
- Ebbing Lautenbach (ORCID: https://orcid.org/0000-0003-4772-2409)
- Yun Li (ORCID: https://orcid.org/0000-0001-8414-2724)
- Melinda M. Neuhauser (ORCID: https://orcid.org/0000-0002-6062-2413)
Institutions
- Centers for Disease Control and Prevention (US)
- Children's Hospital of Philadelphia (US)
- University of Utah (US)
- National Center for Emerging and Zoonotic Infectious Diseases (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- Journal of the Pediatric Infectious Diseases Society
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1093/jpids/piaf089
- Primary Topic
- Healthcare Systems and Technology
- Type
- article
- Field-Weighted Citation Impact
- 0.00