volume 146, issue 3, Pe20200038 2020
DOI: 10.1542/peds.2020-0038
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Matthew P. Kronman, Jeffrey S. Gerber, Robert W. Grundmeier, Chuan Zhou, Jeffrey D. Robinson, John Heritage, James Stout, Dennis Burges, Benjamin Hedrick, Louise Warren, Madeleine Shalowitz, Laura P. Shone, Jennifer Steffes, Margaret Wright et al.

Abstract: BACKGROUND: One-third of outpatient antibiotic prescriptions for pediatric acute respiratory tract infections (ARTIs) are inappropriate. We evaluated a distance learning program's effectiveness for reducing outpatient antibiotic prescribing for ARTI visits. METHODS: In this stepped-wedge clinical trial run from November 2015 to June 2018, we randomly assigned 19 pediatric practices belonging to the Pediatric Research in Office Settings Network or the NorthShore University HealthSystem to 4 wedges. Visits for a…

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