{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T01:02:36Z","timestamp":1761181356995,"version":"build-2065373602"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Safety and Healthcare Epidemiology Prevention Research Development"},{"DOI":"10.13039\/100000030","name":"U.S. Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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.<\/jats:p>","DOI":"10.1093\/jpids\/piaf089","type":"journal-article","created":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T11:42:27Z","timestamp":1759664547000},"source":"Crossref","is-referenced-by-count":0,"title":["Off-target Impact of Clinician Feedback Reports on Antibiotic Use in Children With Medical Complexity Hospitalized With Community-Acquired Pneumonia"],"prefix":"10.1093","volume":"14","author":[{"given":"Kathleen","family":"Chiotos","sequence":"first","affiliation":[{"name":"Division of Critical Care Medicine, Department of Anesthesiology and Critical Care, Children\u2019s Hospital of Philadelphia , Philadelphia, PA ,","place":["United States"]},{"name":"Division of Infectious Diseases, Department of Pediatrics, Children\u2019s Hospital of Philadelphia , Philadelphia, PA ,","place":["United States"]},{"name":"University of Pennsylvania, Perelman School of Medicine , Philadelphia, PA ,","place":["United States"]},{"name":"Clinical Futures, Children\u2019s Hospital of Philadelphia , Philadelphia, PA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5011-7950","authenticated-orcid":false,"given":"Lauren","family":"Dutcher","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, University of Pennsylvania, Perelman School of Medicine , Philadelphia, PA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert W","family":"Grundmeier","sequence":"additional","affiliation":[{"name":"University of Pennsylvania, Perelman School of Medicine , Philadelphia, PA ,","place":["United 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Department of Medicine, University of Pennsylvania, Perelman School of Medicine , Philadelphia, PA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Perelman School of Medicine , Philadelphia, PA ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandi M","family":"Muller","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, University of Utah, School of Medicine , Salt Lake City, UT ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Didien","family":"Meyahnwi","sequence":"additional","affiliation":[{"name":"Clinical Futures, Children\u2019s Hospital of Philadelphia , Philadelphia, PA ,","place":["United 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