{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T03:14:08Z","timestamp":1788146048433,"version":"build-2803163510"},"reference-count":7,"publisher":"Korean Society of Medical Education","issue":"3","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["kjme.kr"],"crossmark-restriction":true},"short-container-title":["KJME"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:p>Purpose: Changing antimicrobial prescribing behavior is a key challenge in antimicrobial stewardship (AMS). In postgraduate clinical education, knowledge-based teaching alone is often insufficient to achieve sustained behavior change, highlighting the need for workplace-based educational designs informed by behavioral science.Methods: We conducted a retrospective before\u2013after study to evaluate a pharmacist-led educational intervention designed to influence prescribing behavior of piperacillin\/tazobactam (TZP) in Japan. The educational component, consisting of a pharmacist-developed video and post-test, was completed once by physicians prior to implementation, whereas a structured prescription rationale requirement was applied at each TZP prescribing event. Prescribing behavior was assessed using days of therapy (DOT) and antibiotic use density (AUD) over 6 months before and after the intervention. Educational components were treated as process indicators of engagement rather than primary outcomes.Results: All full-time physicians completed the instructional video and the post-test. Following the intervention, TZP use decreased by 22.3% in DOT, with consistent reductions observed in season-matched comparisons. Similar trends were observed for AUD.Conclusion: Workflow-embedded reflective prompts may be useful as a workplace-based educational strategy for influencing antimicrobial prescribing behavior.<\/jats:p>","DOI":"10.3946\/kjme.2026.181","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T02:26:32Z","timestamp":1788143192000},"page":"267-271","update-policy":"https:\/\/doi.org\/10.3946\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A pharmacist-led, workplace-based educational intervention informed by behavioral science to influence antimicrobial prescribing in Japan"],"prefix":"10.3946","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1427-4720","authenticated-orcid":true,"given":"Koji","family":"Masuda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9012-5573","authenticated-orcid":true,"given":"Harumi","family":"Gomi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1697-7364","authenticated-orcid":true,"given":"Junko","family":"Tanuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2274-0122","authenticated-orcid":true,"given":"Tamae","family":"Hiramatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4960-0724","authenticated-orcid":true,"given":"Takamitsu","family":"Sato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4840-6387","authenticated-orcid":true,"given":"Saho","family":"Takaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8598-4480","authenticated-orcid":true,"given":"Yasuyuki","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9722-7663","authenticated-orcid":true,"given":"Tetsuya","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2336","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2014.01.004"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2021.06.003"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"ref4","volume-title":"","author":"Kirkpatrick","year":"2006"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw118"},{"key":"ref6","volume-title":"Japan Surveillance for Infection Prevention and Healthcare Epidemiology (J-SIPHE): annual report 2022"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1177\/2382120519840332"}],"container-title":["Korean Journal of Medical Education"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/kjme.kr\/upload\/pdf\/kjme-2026-181.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjme.kr\/journal\/view.php?doi=10.3946\/kjme.2026.181","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjme.kr\/upload\/pdf\/kjme-2026-181.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T02:26:45Z","timestamp":1788143205000},"score":1,"resource":{"primary":{"URL":"http:\/\/kjme.kr\/journal\/view.php?doi=10.3946\/kjme.2026.181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"URL":"https:\/\/doi.org\/10.3946\/kjme.2026.181","relation":{},"ISSN":["2005-727X","2005-7288"],"issn-type":[{"value":"2005-727X","type":"print"},{"value":"2005-7288","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"assertion":[{"value":"2026-02-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}