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OASCN Resources | Using Vignette Methods to Describe Practice Variation, Practice Quality, and Promote Change

These resources were developed by the OASCN Collaborative between 2021-2022.

Relevant Didactics:

  • PDSA for Stewardship. A Creative Endeavor (Kurlen Payton): Slides | Video

Relevant Learning Points:

Learning Point #56: Vignette research methods on antibiotic decisions and rationale guiding these decisions can help inform ideal stewardship strategies, process changes, and guideline development.

Relevant References: 

Converse L, et al. Methods of Observing Variations in Physicians' Decisions: The Opportunities of Clinical Vignettes. J Gen Intern Med. 2015 Aug;

Patel S, et al. Clinical vignettes provide an understanding of antibiotic prescribing practices in neonatal intensive care units. ICHE 2011;32:597–602.

Payton K et al. Vignettes Identify Variation in Antibiotic Use for Suspected Early Onset Sepsis. Hosp Pediatrics 2021;11:770-4. 

Payton K and Gould J. Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives. Healthcare 2022 Dec 20;11(1):7.