The Effect of Expert Feedback on Antibiotic Prescribing in Pediatrics: Experimental Evidence.

Inappropriate prescribing of antibiotics, which is common in pediatric care, is a key driver of antimicrobial resistance. To mitigate the development of resistance, antibiotic stewardship programs often suggest the inclusion of feedback targeted at individual providers. Empirically, however, it is not well understood how feedback affects individual physicians' antibiotic prescribing decisions.

Staff and parents are discriminators for outcomes in neonatal intensive care units.

Aim: We investigated the associations between staff work characteristics, parents' experiences and a number of medical outcome measures.

Methods: This explorative multicentre study took place in the neonatal intensive care units (NICUs) of five German university hospitals between 2009 and 2011. We assessed staff work characteristics by surveying 126 NICU nurses and 57 physicians and asked 214 parents about their relationships with staff.