TABLE 5

Standardized Effects of Provider Feedback With and Without CDS on Adherence to Guidelines for AOM During 10-month CDS and Feedback Period (Time 3, Months 24–33) Versus 11-month CDS-only Period (Time 2, Months 13–23)

Adherence to guideline metricsSample sizeFeedback vs Usual Care PracticesFeedback vs CDS-Only PracticesCDS-Only vs Usual Care PracticesCDS and Feedback vs Usual Care Practices
Time 3 – Time 2Time 3 – Time 2Time 3 – Time 2Time 3 – Time 2
Percentage Difference (P value)
Comprehensive care, AOM only48 7825.4 (.070)8.9 (.005)−3.5 (.284)1.8 (.586)
Pain treated13 72416.0 (.001)16.7 (<.001)−0.7 (.880)−0.5 (.936)
Amoxicillin as first-line therapy for AOM43 2426.3 (<.001)5.4 (<.001)0.9 (.485)5.8 (.012)
High-dose amoxicillin for AOM32 38612.9 (.007)15.6 (.004)−2.7 (.653)4.4 (.335)