Interventions to De-implement Unnecessary Antibiotic Prescribing for Children With Ear Infections

NARecruitingINTERVENTIONAL
Enrollment

1,566

Participants

Timeline

Start Date

February 3, 2025

Primary Completion Date

June 1, 2027

Study Completion Date

June 30, 2029

Conditions
Acute Otitis MediaEar InfectionPediatric Infectious Disease
Interventions
OTHER

Changes to the electronic health record (EHR)

"EHR changes will include minor changes to prescription fields to make it easier for clinicians to order wait and see antibiotics to be filled only if the child worsens or does not improve rather than antibiotics to take immediately."

OTHER

Individualized audit and feedback reporting for clinicians

Automated audit and feedback reports detailing participating clinicians' antibiotic prescribing habits for AOM both individually and in comparison to their peers will be shared with clinicians on a quarterly basis throughout the intervention period.

OTHER

Clinician education sessions

Virtual education sessions will be held for clinicians to learn more about national guidelines for antibiotic prescribing for AOM, etc. The sessions will be recorded and distributed to clinicians who were unable to attend. Attendance of these sessions will apply toward continuing medical education credits for participants.

OTHER

Use of a shared decision-making (SDM) aide

A previously validated SDM aide for AOM will be used by clinicians during visits with children with AOM. The aide will be available online and in paper form.

OTHER

Shared decision-making (SDM) education

Clinicians will receive education on SDM and how to use the aid via virtual, recorded sessions.

Trial Locations (3)

60654

RECRUITING

AllianceChicago, Chicago

80204

RECRUITING

Denver Health and Hospital Authority, Denver

84107

RECRUITING

Intermountain Health, Murray

Sponsors

Collaborators (1)

All Listed Sponsors
collaborator

AllianceChicago

OTHER

collaborator

Mayo Clinic

OTHER

collaborator

Patient-Centered Outcomes Research Institute

OTHER

collaborator

Denver Health and Hospital Authority

OTHER

lead

Intermountain Health Care, Inc.

OTHER

NCT06034080 - Interventions to De-implement Unnecessary Antibiotic Prescribing for Children With Ear Infections | Biotech Hunter | Biotech Hunter