{"id":"https://openalex.org/W7119754675","doi":"https://doi.org/10.1001/jamanetworkopen.2025.49655","title":"Prospective Audit and Feedback by Antibiotic Stewardship Teams to Reduce Antibiotic Overuse at Hospital Discharge","display_name":"Prospective Audit and Feedback by Antibiotic Stewardship Teams to Reduce Antibiotic Overuse at Hospital Discharge","publication_year":2026,"publication_date":"2026-01-09","ids":{"openalex":"https://openalex.org/W7119754675","doi":"https://doi.org/10.1001/jamanetworkopen.2025.49655","pmid":"https://pubmed.ncbi.nlm.nih.gov/41511774"},"language":"en","primary_location":{"id":"doi:10.1001/jamanetworkopen.2025.49655","doi":"https://doi.org/10.1001/jamanetworkopen.2025.49655","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2025.49655","pdf_url":"https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2843523/livorsi_2026_oi_251330_1767023547.22293.pdf","source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2843523/livorsi_2026_oi_251330_1767023547.22293.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056065643","display_name":"Daniel J. Livorsi","orcid":"https://orcid.org/0000-0001-8523-214X","observed_orcids":["https://orcid.org/0000-0001-8523-214X"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I4210132647","display_name":"Iowa City VA Health Care System","ror":"https://ror.org/04hgm3062","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210132647","https://openalex.org/I4210159720"]},{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Daniel J. Livorsi","raw_affiliation_strings":["Center for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa","Department of Medicine, University of Iowa Carver College of Medicine, Iowa City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa","institution_ids":["https://openalex.org/I4210132647"]},{"raw_affiliation_string":"Department of Medicine, University of Iowa Carver College of Medicine, Iowa City","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Alyssa M. Thompson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210093742","display_name":"Barnes-Jewish West County Hospital","ror":"https://ror.org/00g8nr938","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210093742"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alyssa M. Thompson","raw_affiliation_strings":["Barnes-Jewish West County Hospital, Creve Coeur, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barnes-Jewish West County Hospital, Creve Coeur, Missouri","institution_ids":["https://openalex.org/I4210093742"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122488561","display_name":"Melissa S. Green","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210093742","display_name":"Barnes-Jewish West County Hospital","ror":"https://ror.org/00g8nr938","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210093742"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melissa S. Green","raw_affiliation_strings":["Barnes-Jewish West County Hospital, Creve Coeur, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barnes-Jewish West County Hospital, Creve Coeur, Missouri","institution_ids":["https://openalex.org/I4210093742"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122651306","display_name":"Angela C. Hoelscher","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Angela C. Hoelscher","raw_affiliation_strings":["Progress West Hospital, O\u2019Fallon, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Progress West Hospital, O\u2019Fallon, Missouri","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122615874","display_name":"Kailye K. Chu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kailye K. Chu","raw_affiliation_strings":["Progress West Hospital, O\u2019Fallon, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Progress West Hospital, O\u2019Fallon, Missouri","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062307271","display_name":"Elizabeth A. Neuner","orcid":"https://orcid.org/0000-0002-5534-1748","observed_orcids":["https://orcid.org/0000-0002-5534-1748","https://orcid.org/0009-0008-6151-7720"]},"institutions":[{"id":"https://openalex.org/I1299725459","display_name":"Barnes-Jewish Hospital","ror":"https://ror.org/04wyvkr12","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1299725459","https://openalex.org/I1328499231"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth Neuner","raw_affiliation_strings":["Barnes-Jewish Hospital, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barnes-Jewish Hospital, St Louis, Missouri","institution_ids":["https://openalex.org/I1299725459"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074894321","display_name":"Yvonne J. Burnett","orcid":"https://orcid.org/0000-0003-1114-3421","observed_orcids":["https://orcid.org/0000-0003-1114-3421"]},"institutions":[{"id":"https://openalex.org/I2802222712","display_name":"Missouri Baptist Medical Center","ror":"https://ror.org/0067dx910","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1328499231","https://openalex.org/I2802222712"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yvonne Burnett","raw_affiliation_strings":["Missouri Baptist Medical Center, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Missouri Baptist Medical Center, St Louis, Missouri","institution_ids":["https://openalex.org/I2802222712"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103873181","display_name":"Teri L. Hopkins","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802109968","display_name":"Audie L. Murphy Memorial VA Hospital","ror":"https://ror.org/035xhk118","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2802109968","https://openalex.org/I4210144023","https://openalex.org/I4210144081"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Teri Hopkins","raw_affiliation_strings":["Audie L. Murphy Memorial Veterans\u2019 Hospital, San Antonio, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Audie L. Murphy Memorial Veterans\u2019 Hospital, San Antonio, Texas","institution_ids":["https://openalex.org/I2802109968"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122491843","display_name":"Elizabeth Walter","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802109968","display_name":"Audie L. Murphy Memorial VA Hospital","ror":"https://ror.org/035xhk118","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2802109968","https://openalex.org/I4210144023","https://openalex.org/I4210144081"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth Walter","raw_affiliation_strings":["Audie L. Murphy Memorial Veterans\u2019 Hospital, San Antonio, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Audie L. Murphy Memorial Veterans\u2019 Hospital, San Antonio, Texas","institution_ids":["https://openalex.org/I2802109968"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052574348","display_name":"Rohini Dav\u00e9","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210163125","display_name":"VA Maryland Health Care System","ror":"https://ror.org/05ax3zh38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210111569","https://openalex.org/I4210163125"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rohini Dave","raw_affiliation_strings":["Veterans Administration Maryland Health Care System, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Veterans Administration Maryland Health Care System, Baltimore, Maryland","institution_ids":["https://openalex.org/I4210163125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007441359","display_name":"Ravi Kiran Tripathi","orcid":"https://orcid.org/0000-0002-7820-6805","observed_orcids":["https://orcid.org/0000-0002-7820-6805"]},"institutions":[{"id":"https://openalex.org/I4210163125","display_name":"VA Maryland Health Care System","ror":"https://ror.org/05ax3zh38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210111569","https://openalex.org/I4210163125"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ravi Tripathi","raw_affiliation_strings":["Veterans Administration Maryland Health Care System, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Veterans Administration Maryland Health Care System, Baltimore, Maryland","institution_ids":["https://openalex.org/I4210163125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122584993","display_name":"Haylie Lohmar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210110049","display_name":"Richard L. Roudebush VA Medical Center","ror":"https://ror.org/01zpmbk67","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210110049","https://openalex.org/I4210127612","https://openalex.org/I4388446366","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Haylie Lohmar","raw_affiliation_strings":["Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, Indiana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, Indiana","institution_ids":["https://openalex.org/I4210110049"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003703982","display_name":"Andrew T. Dysangco","orcid":"https://orcid.org/0000-0002-2873-5776","observed_orcids":["https://orcid.org/0000-0002-2873-5776"]},"institutions":[{"id":"https://openalex.org/I4210110049","display_name":"Richard L. Roudebush VA Medical Center","ror":"https://ror.org/01zpmbk67","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210110049","https://openalex.org/I4210127612","https://openalex.org/I4388446366","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew Dysangco","raw_affiliation_strings":["Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, Indiana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, Indiana","institution_ids":["https://openalex.org/I4210110049"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018300314","display_name":"Kelly M Percival","orcid":"https://orcid.org/0000-0002-7988-320X","observed_orcids":["https://orcid.org/0000-0002-7988-320X"]},"institutions":[{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kelly Percival","raw_affiliation_strings":["Department of Pharmaceutical Care, University of Iowa Health Care, Iowa City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmaceutical Care, University of Iowa Health Care, Iowa City","institution_ids":["https://openalex.org/I4210142782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058759387","display_name":"Dilek \u0130nce","orcid":"https://orcid.org/0000-0001-5446-3789","observed_orcids":["https://orcid.org/0000-0001-5446-3789"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dilek Ince","raw_affiliation_strings":["Department of Medicine, University of Iowa Carver College of Medicine, Iowa City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Iowa Carver College of Medicine, Iowa City","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093343102","display_name":"Jessica Kolkmeyer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jessica Kolkmeyer","raw_affiliation_strings":["Christian Hospital, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Christian Hospital, St Louis, Missouri","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053740178","display_name":"Helen Newland","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1328499231","display_name":"BJC HealthCare","ror":"https://ror.org/02z9g9j20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1328499231"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Helen Newland","raw_affiliation_strings":["BJC HealthCare, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BJC HealthCare, St Louis, Missouri","institution_ids":["https://openalex.org/I1328499231"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073002556","display_name":"Michael Joshua Hendrix","orcid":"https://orcid.org/0000-0002-0740-5313","observed_orcids":["https://orcid.org/0000-0002-0740-5313"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]},{"id":"https://openalex.org/I4210093742","display_name":"Barnes-Jewish West County Hospital","ror":"https://ror.org/00g8nr938","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210093742"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Joshua Hendrix","raw_affiliation_strings":["Barnes Jewish St Peter\u2019s Hospital, St Peters, Missouri","Barnes-Jewish West County Hospital, Creve Coeur, Missouri","Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri","Progress West Hospital, O\u2019Fallon, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barnes Jewish St Peter\u2019s Hospital, St Peters, Missouri","institution_ids":[]},{"raw_affiliation_string":"Barnes-Jewish West County Hospital, Creve Coeur, Missouri","institution_ids":["https://openalex.org/I4210093742"]},{"raw_affiliation_string":"Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]},{"raw_affiliation_string":"Progress West Hospital, O\u2019Fallon, Missouri","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059694128","display_name":"Gosia S. Clore","orcid":"https://orcid.org/0000-0003-0848-3337","observed_orcids":["https://orcid.org/0000-0003-0848-3337"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gosia Clore","raw_affiliation_strings":["Department of Medicine, University of Iowa Carver College of Medicine, Iowa City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Iowa Carver College of Medicine, Iowa City","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039643684","display_name":"Cody Poe","orcid":"https://orcid.org/0000-0002-2688-4583","observed_orcids":["https://orcid.org/0000-0002-2688-4583"]},"institutions":[{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cody Poe","raw_affiliation_strings":["University of Iowa Health Care, Iowa City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Iowa Health Care, Iowa City","institution_ids":["https://openalex.org/I4210142782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035762054","display_name":"Amy M. J. O\u2019Shea","orcid":"https://orcid.org/0000-0003-3272-7952","observed_orcids":["https://orcid.org/0000-0003-3272-7952"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I4210132647","display_name":"Iowa City VA Health Care System","ror":"https://ror.org/04hgm3062","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210132647","https://openalex.org/I4210159720"]},{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amy O\u2019Shea","raw_affiliation_strings":["Center for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa","Department of Medicine, University of Iowa Carver College of Medicine, Iowa City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa","institution_ids":["https://openalex.org/I4210132647"]},{"raw_affiliation_string":"Department of Medicine, University of Iowa Carver College of Medicine, Iowa City","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003149006","display_name":"Joseph Tholany","orcid":"https://orcid.org/0000-0003-4415-4573","observed_orcids":["https://orcid.org/0000-0003-4415-4573"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I4210132647","display_name":"Iowa City VA Health Care System","ror":"https://ror.org/04hgm3062","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210132647","https://openalex.org/I4210159720"]},{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph Tholany","raw_affiliation_strings":["Center for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa","Department of Medicine, University of Iowa Carver College of Medicine, Iowa City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, Iowa","institution_ids":["https://openalex.org/I4210132647"]},{"raw_affiliation_string":"Department of Medicine, University of Iowa Carver College of Medicine, Iowa City","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020220899","display_name":"Kunatum Prasidthrathsint","orcid":"https://orcid.org/0000-0001-7920-6738","observed_orcids":["https://orcid.org/0000-0001-7920-6738"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I4210142782","display_name":"University of Iowa Health Care","ror":"https://ror.org/0431j1t39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kunatum Prasidthrathsint","raw_affiliation_strings":["Department of Medicine, University of Iowa Carver College of Medicine, Iowa City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Iowa Carver College of Medicine, Iowa City","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I4210142782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049530998","display_name":"Erin C. Rachmiel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin Rachmiel","raw_affiliation_strings":["Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018504790","display_name":"Jahnavi Bongu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jahnavi Bongu","raw_affiliation_strings":["Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037180838","display_name":"Alice F. Bewley","orcid":"https://orcid.org/0000-0001-5392-4010","observed_orcids":["https://orcid.org/0000-0001-5392-4010"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alice Bewley","raw_affiliation_strings":["Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031877979","display_name":"Kevin Hsueh","orcid":"https://orcid.org/0000-0002-6606-4491","observed_orcids":["https://orcid.org/0000-0002-6606-4491"]},"institutions":[{"id":"https://openalex.org/I1299725459","display_name":"Barnes-Jewish Hospital","ror":"https://ror.org/04wyvkr12","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1299725459","https://openalex.org/I1328499231"]},{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kevin Hsueh","raw_affiliation_strings":["Barnes-Jewish Hospital, St Louis, Missouri","Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barnes-Jewish Hospital, St Louis, Missouri","institution_ids":["https://openalex.org/I1299725459"]},{"raw_affiliation_string":"Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5056065643"],"corresponding_institution_ids":["https://openalex.org/I126307644","https://openalex.org/I4210132647","https://openalex.org/I4210142782"],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":{"value":3000,"currency":"USD","value_usd":3000},"fwci":15.8149,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.98441397,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":98},"biblio":{"volume":"9","issue":"1","first_page":"e2549655","last_page":"e2549655"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antibiotic-stewardship","display_name":"antibiotic stewardship","score":0.8069999814033508},{"id":"https://openalex.org/keywords/audit-and-feedback","display_name":"audit and feedback","score":0.8090000152587891},{"id":"https://openalex.org/keywords/overuse-of-antibiotics","display_name":"antibiotic overuse","score":0.7680000066757202},{"id":"https://openalex.org/keywords/hospital-discharge","display_name":"hospital discharge","score":0.9110000133514404},{"id":"https://openalex.org/keywords/prescription-guidelines","display_name":"prescribing guidelines","score":0.503000020980835},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7170000076293945},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.8999999761581421},{"id":"https://openalex.org/keywords/prescriber-feedback","display_name":"prescriber feedback","score":0.6299999952316284},{"id":"https://openalex.org/keywords/antimicrobial-resistance-prevention","display_name":"antimicrobial resistance prevention","score":0.47999998927116394},{"id":"https://openalex.org/keywords/nosocomial-infections","display_name":"nosocomial infections","score":0.45399999618530273},{"id":"https://openalex.org/keywords/hospital-acquired-pneumonia","display_name":"nosocomial pneumonia","score":0.3400000035762787}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7116000056266785},{"id":"https://openalex.org/C2911146124","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antibiotic Stewardship","level":4,"score":0.6394000053405762},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.6092000007629395},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.5896999835968018},{"id":"https://openalex.org/C2776040555","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antimicrobial stewardship","level":4,"score":0.5580000281333923},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5113000273704529},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.48399999737739563},{"id":"https://openalex.org/C2777950569","wikidata":"https://www.wikidata.org/wiki/Q17021836","display_name":"Stewardship (theology)","level":3,"score":0.41429999470710754},{"id":"https://openalex.org/C3017624810","wikidata":"https://www.wikidata.org/wiki/Q3259564","display_name":"Hospital discharge","level":2,"score":0.41269999742507935},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.39250001311302185},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.32760000228881836},{"id":"https://openalex.org/C2993328841","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotic therapy","level":3,"score":0.32199999690055847},{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.28780001401901245},{"id":"https://openalex.org/C3019249092","wikidata":"https://www.wikidata.org/wiki/Q274493","display_name":"Antibacterial agent","level":3,"score":0.27239999175071716},{"id":"https://openalex.org/C2992870097","wikidata":"https://www.wikidata.org/wiki/Q3259564","display_name":"Patient discharge","level":3,"score":0.25619998574256897}],"mesh":[{"descriptor_ui":"D000073602","descriptor_name":"Antimicrobial Stewardship","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000073602","descriptor_name":"Antimicrobial Stewardship","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000073602","descriptor_name":"Antimicrobial Stewardship","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000073602","descriptor_name":"Antimicrobial Stewardship","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000073602","descriptor_name":"Antimicrobial Stewardship","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000073602","descriptor_name":"Antimicrobial Stewardship","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D005246","descriptor_name":"Feedback","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005246","descriptor_name":"Feedback","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005246","descriptor_name":"Feedback","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005246","descriptor_name":"Feedback","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005246","descriptor_name":"Feedback","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005246","descriptor_name":"Feedback","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1001/jamanetworkopen.2025.49655","doi":"https://doi.org/10.1001/jamanetworkopen.2025.49655","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2025.49655","pdf_url":"https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2843523/livorsi_2026_oi_251330_1767023547.22293.pdf","source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},{"id":"pmid:41511774","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41511774","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA network open","raw_type":"Journal Article"},{"id":"pmh:oai:digitalcommons.wustl.edu:oa_4-7208","doi":null,"is_oa":false,"landing_page_url":"https://digitalcommons.wustl.edu/oa_4/6209","pdf_url":null,"source":{"id":"https://openalex.org/S4306400764","display_name":"Digital Commons@Becker (Washington University School of Medicine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I204465549","host_organization_name":"Washington University in St. Louis","host_organization_lineage":["https://openalex.org/I204465549"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"2020-Current year OA Pubs","raw_type":"text"},{"id":"pmh:oai:pubmedcentral.nih.gov:12789953","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12789953/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JAMA Netw Open","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1001/jamanetworkopen.2025.49655","doi":"https://doi.org/10.1001/jamanetworkopen.2025.49655","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2025.49655","pdf_url":"https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2843523/livorsi_2026_oi_251330_1767023547.22293.pdf","source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Randomized Controlled Trial","id":"https://openalex.org/study-designs/randomized-controlled-trial"},{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7119754675.pdf","grobid_xml":"https://content.openalex.org/works/W7119754675.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W2557247403","https://openalex.org/W2559779806","https://openalex.org/W2593147194","https://openalex.org/W2596460571","https://openalex.org/W2805295287","https://openalex.org/W2885961185","https://openalex.org/W2947266483","https://openalex.org/W2975241624","https://openalex.org/W2980188763","https://openalex.org/W3086806983","https://openalex.org/W3210054647","https://openalex.org/W3214979161","https://openalex.org/W4280509850","https://openalex.org/W4285798794","https://openalex.org/W4309669577","https://openalex.org/W4309873912","https://openalex.org/W4414297290"],"related_works":[],"abstract_inverted_index":{"Importance:":[0],"Antibiotics":[1],"prescribed":[2,243],"at":[3,33,50,159,246,272,409,435,459],"hospital":[4,34,75,140,204,325,345,410,436],"discharge":[5,114,160,437],"are":[6,15,452],"frequently":[7],"unnecessary":[8,456],"or":[9,344],"suboptimal.":[10],"Strategies":[11],"to":[12,65,96,154,234,288,320,341,454],"improve":[13,440],"prescribing":[14,158,358,408,443,458],"not":[16,431],"well":[17],"defined.":[18],"Objective:":[19],"To":[20],"evaluate":[21],"whether":[22],"a":[23,70,101,171,391],"discharge-focused":[24,425],"prospective":[25,102,426],"audit":[26,103,427],"and":[27,38,58,99,104,123,142,397,413,428,446],"feedback":[28,105,233,429],"process":[29,106],"decreases":[30],"antibiotic":[31,54,94,130,136,157,266,304,357,407,433,442,457],"overuse":[32],"discharge.":[35,411],"Design,":[36],"Setting,":[37],"Participants:":[39],"This":[40],"stepped-wedge":[41],"cluster-randomized":[42,418],"clinical":[43,419],"trial":[44,420],"was":[45,128,168,193,219,268,359],"conducted":[46,421],"across":[47,186,422],"participating":[48],"units":[49],"10":[51,187,423],"hospitals":[52],"with":[53,111,197,249,275,300],"stewardship":[55],"(AS)":[56],"teams":[57],"supporting":[59],"staff":[60],"from":[61],"December":[62],"5,":[63],"2022,":[64],"November":[66],"17,":[67],"2023.":[68],"After":[69],"24-week":[71],"baseline":[72,247,273,301],"period,":[73],"1":[74],"crossed":[76],"into":[77],"the":[78,117,203,206,214,235,254,280,297,363,404],"intervention":[79,86,255,281,298,364],"arm":[80],"every":[81],"2":[82],"weeks.":[83],"Intervention:":[84],"The":[85,125,189,262],"consisted":[87],"of":[88,139,210,224,324,366,372,384,399,462],"disseminating":[89],"institutional":[90],"guidelines":[91],"for":[92,107,161,302,444],"oral":[93],"step-down":[95],"frontline":[97,236,387],"prescribers":[98,388],"conducting":[100],"inpatients":[108],"receiving":[109],"antibiotics":[110,245],"an":[112],"anticipated":[113],"date":[115],"in":[116,151,232],"next":[118],"48":[119],"hours.":[120],"Main":[121],"Outcomes":[122],"Measures:":[124],"primary":[126],"outcome":[127],"postdischarge":[129,244,265],"use.":[131],"Secondary":[132],"outcomes":[133],"included":[134],"inpatient":[135,303,386],"use,":[137],"length":[138,323],"stay,":[141],"readmission.":[143],"Manual":[144],"electronic":[145],"health":[146],"record":[147],"reviews":[148],"were":[149,176,239,292,389],"performed":[150,169],"434":[152],"cases":[153,368,374],"assess":[155],"optimal":[156,441],"patients":[162,211,241,251],"who":[163],"met":[164],"specific":[165],"criteria.":[166],"Analysis":[167],"on":[170],"per-protocol":[172],"basis.":[173],"Results:":[174],"There":[175,238,291],"21":[177],"842":[178],"patient":[179],"admissions":[180],"(baseline,":[181],"14":[182],"288;":[183],"intervention,":[184],"7554)":[185],"hospitals.":[188],"median":[190],"(IQR)":[191],"age":[192],"66":[194],"(53-75)":[195],"years,":[196],"13":[198],"380":[199],"(61.3%)":[200],"males.":[201],"At":[202],"level,":[205],"mean":[207,263,314,335],"(SD)":[208,264],"number":[209],"audited":[212],"by":[213],"AS":[215,450],"team":[216],"per":[217],"week":[218],"19.9":[220],"(5.8);":[221],"approximately":[222],"one-quarter":[223],"these":[225],"audits":[226],"(mean":[227,282,306,327],"[SD],":[228,307,328],"5.0":[229],"[2.6])":[230],"resulted":[231],"prescribers.":[237],"3133":[240],"(21.9%)":[242],"compared":[248,274,299],"1645":[250],"(21.8%)":[252],"during":[253,279,296,362],"(odds":[256,350],"ratio,":[257,351,377],"0.94":[258],"[95%":[259,285,317,338,353,379],"CI,":[260,286,318,339,354,380],"0.84-1.05]).":[261],"duration":[267,305],"7.1":[269],"(5.2)":[270],"days":[271,278,349],"7.6":[276],"(5.6)":[277],"difference,":[283,315],"0.02":[284],"-0.50":[287],"0.53]":[289],"days).":[290],"no":[293],"statistical":[294],"differences":[295],"4.4":[308],"(3.6)":[309],"vs":[310,331,370],"4.2":[311],"[3.5]":[312],"days;":[313,334],"0.04":[316],"-0.20":[319],"0.27]":[321],"days),":[322,343],"stay":[326],"5.4":[329,332],"[4.8]":[330],"[5.0]":[333],"difference":[336],"0.11":[337],"-0.12":[340],"0.33]":[342],"readmission":[346],"within":[347],"30":[348],"1.02":[352],"0.88-1.18]).":[355],"Optimal":[356],"more":[360],"common":[361,445],"(122":[365],"264":[367],"[46.2%]":[369],"100":[371],"170":[373],"[58.8%];":[375],"odds":[376],"1.61":[378],"1.08-2.40]).":[381],"A":[382],"total":[383],"112":[385],"sent":[390],"postintervention":[392],"survey;":[393],"40":[394],"(35.7%)":[395],"responded,":[396],"34":[398],"36":[400],"(94.4%)":[401],"believed":[402],"that":[403],"initiative":[405],"improved":[406],"Conclusions":[412],"Relevance:":[414],"In":[415],"this":[416,460],"stepped-wedged":[417],"hospitals,":[424],"did":[430,439],"decrease":[432,455],"use":[434],"but":[438],"uncomplicated":[447],"diagnoses.":[448],"Other":[449],"strategies":[451],"needed":[453],"transition":[461],"care.":[463],"Trial":[464],"Registration:":[465],"ClincialTrials.gov":[466],"Identifier:":[467],"NCT05471726.":[468]},"counts_by_year":[{"year":2026,"cited_by_count":3}],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-01-10T00:00:00"}