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Background Prior to implementing an antibiotic stewardship intervention for asymptomatic bacteriuria (AS, we assessed institutional barriers to change using the Organizational Readiness to Change Assessment. Methods Surveys were self-administered on paper in inpatient medicine and long-term care units at 4 Veterans Affairs facilities. Participants included providers, nurses, and pharmacists. The survey included 7 subscales evidence (perceived strength of evidence) and six context subscales (favorability of organizational context). Respo