Impact of Peer Feedback on Antibiotic Prescribing Practices Among Hospitalists
By
Lucy S. Witt
Radhika Prakash-Asrani
K. Ashley Jones
C. Christina Mehta
Zanthia Wiley
Jesse T. Jacob
Hasan F. Shabbir
Julianne Gent
Chad Robichaux
Jessica Howard-Anderson
Sujit Suchindran
Julia E. Szymczak
Raymund B. Dantes
Scott K. Fridkin
April 28, 2026
Clinical Scorecard: Impact of Peer Feedback on Antibiotic Prescribing Practices Among Hospitalists
At a Glance
Category Detail
Condition Inappropriate antibiotic prescribing Key Mechanisms Peer comparative feedback reports and educational sessions Target Population Hospitalists in a multihospital network Care Setting Inpatient hospital care
Key Highlights
Inappropriate antibiotic prescribing contributes to antibiotic resistance and adverse outcomes. The intervention included educational sessions and bimonthly feedback reports. Hospitalist-specific feedback reports used observed-to-expected ratios (OERs). The study utilized a stepped-wedge cluster design for assessment. Antibiotic stewardship teams harmonized efforts across facilities. Guideline-Based Recommendations
Diagnosis
Utilize evidence-based recommendations for community-acquired pneumonia and UTIs. Management
Implement antibiotic deescalation strategies based on feedback reports. Monitoring & Follow-up
Regularly assess prescribing practices using OERs. Risks
Inappropriate prescribing can lead to Clostridioides difficile infection and increased healthcare costs. Patient & Prescribing Data
Inpatients receiving care from hospital medicine services across multiple hospitals.
Antibiotic choice influenced by patient factors such as sepsis, ESKD, and UTIs.
Clinical Best Practices
Conduct regular educational sessions on antibiotic prescribing. Provide timely feedback to hospitalists on their prescribing practices. Utilize patient risk-adjusted metrics for benchmarking. References
