Audit and feedback and clinical practice guideline adherence: Making feedback actionable

Audit and feedback and clinical practice guideline adherence: Making feedback actionable

BACKGROUND As a strategy for improving clinical practice guideline (CPG) adherence, audit and feedback (A&F) has been found to be variably effective, yet A&F research has not investigated the impact of feedback characteristics on its effectiveness. This paper explores how high performing facilities (HPF) and low performing facilities (LPF) differ in the way they use clinical audit data for feed...

Author ' s response to reviews Audit and Feedback and Clinical Practice Guideline Adherence : Making Feedback Actionable

The feasibility of automating audit and feedback for ART guideline adherence in Malawi

OBJECTIVE To determine the feasibility of using electronic medical record (EMR) data to provide audit and feedback of antiretroviral therapy (ART) clinical guideline adherence to healthcare workers (HCWs) in Malawi. MATERIALS AND METHODS We evaluated recommendations from Malawi's ART guidelines using GuideLine Implementability Appraisal criteria. Recommendations that passed selected criteria ...

Clinical Pathway and Monthly Feedback Improve Adherence to Antibiotic Guideline Recommendations for Community-Acquired Pneumonia

BACKGROUND Compliance with community-acquired pneumonia (CAP) guidelines remains poor despite a substantial body of evidence indicating that guideline-concordant care improves patient outcomes. The aim of this study was to compare the relative effectiveness of a general educational and a targeted emergency department intervention on improving physicians' concordance with CAP guidelines. METHO...

Model depicting aspects of audit and feedback that impact physicians’ acceptance of clinical performance feedback

BACKGROUND Audit and feedback (A&F) is a strategy that has been used in various disciplines for performance and quality improvement. There is limited research regarding medical professionals' acceptance of clinical-performance feedback and whether feedback impacts clinical practice. The objectives of our research were to (1) investigate aspects of A&F that impact physicians' acceptance of perfo...