No more ‘business as usual’ with audit and feedback interventions: towards an agenda for a reinvigorated intervention

Background Audit and feedback interventions in healthcare have been found to be effective, but there has been little progress with respect to understanding their mechanisms of action or identifying their key ‘active ingredients.’ Discussion Given the increasing use of audit and feedback to improve q...

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Bibliographic Details
Published in:Implementation science : IS Vol. 9; no. 1; p. 14
Main Authors: Ivers, Noah M, Sales, Anne, Colquhoun, Heather, Michie, Susan, Foy, Robbie, Francis, Jill J, Grimshaw, Jeremy M
Format: Journal Article
Language:English
Published: London BioMed Central 17.01.2014
BioMed Central Ltd
Springer Nature B.V
Subjects:
Attitude of Health Personnel
Audits
Behavior
Best practice
Control theory
Debate
Epidemiology
Evidence-based medicine
Evidence-Based Medicine - organization & administration
Feedback
Health Administration
Health Informatics
Health Policy
Health Promotion and Disease Prevention
Health psychology
Health sciences
Health Services Research
Health Services Research - organization & administration
Hospitals
Humans
Intervention
Medical Audit
Medical care
Medical personnel
Medicine
Medicine & Public Health
Professionals
Public Health
Quality management
Quality of Health Care - organization & administration
Canada
United Kingdom > UK
Ann Arbor Michigan
United States > US
Synthesis
Audit and feedback
Implementation
Optimization
Best practice
ISSN:1748-5908, 1748-5908
Online Access:Get full text
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Summary:Background Audit and feedback interventions in healthcare have been found to be effective, but there has been little progress with respect to understanding their mechanisms of action or identifying their key ‘active ingredients.’ Discussion Given the increasing use of audit and feedback to improve quality of care, it is imperative to focus further research on understanding how and when it works best. In this paper, we argue that continuing the ‘business as usual’ approach to evaluating two-arm trials of audit and feedback interventions against usual care for common problems and settings is unlikely to contribute new generalizable findings. Future audit and feedback trials should incorporate evidence- and theory-based best practices, and address known gaps in the literature. Summary We offer an agenda for high-priority research topics for implementation researchers that focuses on reviewing best practices for designing audit and feedback interventions to optimize effectiveness.
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ISSN:1748-5908
1748-5908
DOI:10.1186/1748-5908-9-14