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Table 2 Overview of situations in which physicians did not actually perform a checklist item which could have been performed

From: The antibiotic checklist: an observational study of the discrepancy between reported and actually performed checklist items

Checklist item ‘YES reported, NOT actually performed’ while checklist item applied to the patient (N) Information about actual performance N (%)
Take at least two sets of blood cultures before starting systemic antibiotic therapy 128 Only one set of blood cultureswas performed 110 (86)
Take specimens for cultures from suspected sites of infection 138 Diagnosis was a respiratory tract infection, sputum culture was not performed 86 (62)
Two possible diagnoses were recorded, only one culture was performed 35 (25)
Diagnosis was a urinary tractinfection, urine culture was not performed 9 (7)
Prescribe systemic antibiotic treatment according to the local guideline 372 Antibiotic treatment for a respiratory tract infection not according to the guidelines 123 (33)
Antibiotic treatment for two diagnoses one or both not according to the guidelines 68 (18)
Antibiotic treatment for a urinary tract infection not according to the guidelines 64 (17)
Antibiotic treatment for a skin infection not according to the guidelines 40 (11)
Adapt dose and dosing interval of systemic antibiotics to renal function 62 No adaption while eGFR <10 mL/min 7 (11)
No adaption while eGFR 10–30 mL/min 37 (60)
No adaption while eGFR 30–50 mL/min 18 (29)
Document the indication for antibiotic treatment in the case notes or electronic medical record (EMR) 106 No documentation 106 (100)
Adapt therapy when culture results become available 136 Change took place on the fourth day of therapy 34 (25)
Change took place on the fifth day of therapy 8 (6)
Switch from intravenous to oral antibiotic therapy after 48–72 h 57 Switch was performed on the fourth day of therapy 27 (47)
Switch was performed on the fifth day of therapy 11 (19)