Overtreatment of asymptomatic bacteriuria (ABU) is a quality, safety, and cost issue, particularly as unnecessary antibiotics lead to emergence of resistant pathogens. The investigators' proposal to bring clinical practice in line with published guidelines has significant potential to reduce unnecessary antibiotic use for ABU in the VA healthcare system, thus improving the quality and safety of veterans' healthcare. The investigators' study will also provide important insights about how to implement and sustain evidence-based clinical practice within VA hospitals.
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Number of Cases of ABU That Are Treated Inappropriately With Antibiotics
Timeframe: Years 1, 2, & 3
Urine Cultures Ordered
Timeframe: three years
Number of Cases of CAUTI Inappropriately Under-treated (no Antibiotics Given)
Timeframe: Years 1, 2, & 3