Prospective audit and feedback (PAF) at discharge significantly improved the rate of optimal antibiotic prescribing from 46.2% to 58.8% (OR 1.61).
The intervention did not reduce the overall proportion of patients receiving post-discharge antibiotics (21.9% at baseline vs. 21.8% during intervention).
There were no significant differences in inpatient antibiotic duration, hospital length of stay, or 30-day readmission rates between the two periods.
Frontline prescribers expressed high satisfaction, with 94.4% believing the initiative improved discharge-related prescribing practices.
The Hidden Frontier of Antibiotic Stewardship: The Hospital Discharge
