BACKGROUND Clinical audits have emerged as a potential tool to summarize the clinical performance of healthcare over a specified period of time. However, the effectiveness of audit and feedback has shown inconsistent results and the impact of audit and feedback on clinical performance has not been evaluated for COPD exacerbations. In the present study, we analyzed the results of two consecutive...

BACKGROUND End-of-life care in dementia in nursing homes is often found to be suboptimal. The Feedback on End-of-Life care in dementia (FOLlow-up) project tests the effectiveness of audit- and feedback to improve the quality of end-of-life care in dementia. METHODS/DESIGN Nursing homes systematically invite the family after death of a resident with dementia to provide feedback using the End-o...

Background. Antimicrobial stewardship programs (ASP) are crucial to optimize antimicrobial utilization in critical care. Prospective audit and feedback is the major intervention used by stewardship programs, yet the impact on clinicians’ antimicrobial prescribing behaviours outside of the stewardship environment is unknown. We sought to understand if skills learned during prospective audit and ...

Background The audit-feedback cycle is a behaviour change intervention used to reduce evidence-practice gaps. In this study, repeat audits, feedback, education and training were used to change practice and increase compliance with Australian guideline recommendations for stroke rehabilitation. Objective To increase the proportion of patients with stroke receiving best practice screening, asse...

BACKGROUND Antipsychotic medications are routinely prescribed in nursing homes to address the behavioral and psychological symptoms of dementia. Unfortunately, inappropriate prescribing of antipsychotic medications is common and associated with increased morbidity, adverse drug events, and hospitalizations. Multifaceted interventions can achieve a 12-20 % reduction in antipsychotic prescribing ...

BACKGROUND Prospective audit and feedback is a core antimicrobial stewardship program (ASP) strategy; however its impact is difficult to measure. METHODS Our quasi-experimental study measured the effect of an ASP on clinical outcomes, antimicrobial use, resistance, costs, patient safety (adverse drug events [ADE] and Clostridium difficile infection [CDI]), and process metrics pre- (9/10-10/11...

quality of clinical education for medical students has always been a concern in academic medicine. this concern has increased in today’s time-squeeze while faculty members have to fulfill their complementary roles as a teacher, researcher, and practitioner. one of the strategies for program evaluation is obtaining trainees’ feedbacks since they are the main customers of educational programs; ho...