Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback

Audit and feedback (A&F) is a commonly used quality improvement (QI) approach. A Cochrane review indicates that A&F is generally effective and leads to modest improvements in professional practice but with considerable variation in the observed effects. While we have some understanding of fa...

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Vydáno v:	BMJ quality & safety Ročník 28; číslo 5; s. 416 - 423
Hlavní autoři:	Grimshaw, JM, Ivers, Noah, Linklater, Stefanie, Foy, Robbie, Francis, Jill J, Gude, Wouter T, Hysong, Sylvia J, Alderson, Sarah, Boet, Sylvain, Brehaut, Jamie, Brown, Benjamin, Clarkson, Jan, Colquhoun, Heather, Keizer, Nicolette de, Desveaux, Laura, Dobell, Gail, Dunn, Sandra, Farrin, Amanda, Foy, Robbie C, Greenberg, Anna, Grimshaw, Jeremy M, Hartley, Suzanne, Horsley, Tanya, Ivers, Noah M, Landis-Lewis, Zach, London, Jane, Lorencatto, Fabiana, Michie, Susan, O’Connor, Denise, Peek, Niels, Presseau, Justin, Ramsay, Craig, Sales, Anne E, Sprague, Ann, Stanworth, Simon, Sykes, Michael, Taljaard, Monica, Thavorn, Kednapa, Walker, Mark, Walwyn, Rebecaa, Weiss, Debra, Willis, Thomas A, Witteman, Holly
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England BMJ Publishing Group Ltd 01.05.2019 BMJ Publishing Group LTD BMJ Publishing Group
Témata:	Antibiotics audit and feedback Audits Feedback Health services Health Services Research Humans Hypotheses implementation science Intervention Laboratories Medical Audit - standards Outcome Assessment, Health Care Practice Patterns, Physicians' - standards Primary care Professional practice Professional Practice - standards Quality control Quality Improvement randomised controlled trial Randomized Controlled Trials as Topic Research and Reporting Methodology Researchers Science audit and feedback randomised controlled trial quality improvement implementation science
ISSN:	2044-5415, 2044-5423, 2044-5423
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Popis
Shrnutí:	Audit and feedback (A&F) is a commonly used quality improvement (QI) approach. A Cochrane review indicates that A&F is generally effective and leads to modest improvements in professional practice but with considerable variation in the observed effects. While we have some understanding of factors that enhance the effects of A&F, further research needs to explore when A&F is most likely to be effective and how to optimise it. To do this, we need to move away from two-arm trials of A&F compared with control in favour of head-to-head trials of different ways of providing A&F. This paper describes implementation laboratories involving collaborations between healthcare organisations providing A&F at scale, and researchers, to embed head-to-head trials into routine QI programmes. This can improve effectiveness while producing generalisable knowledge about how to optimise A&F. We also describe an international meta-laboratory that aims to maximise cross-laboratory learning and facilitate coordination of A&F research.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	2044-5415 2044-5423 2044-5423
DOI:	10.1136/bmjqs-2018-008355