Audit and feedback: effects on professional practice and healthcare outcomes

Ivers, Noah; Jamtvedt, Gro; Flottorp, Signe; Young, Jane; Odgaard‐Jensen, Jan; French, Simon; O’Brien, Mary Ann; Johansen, Marit; Grimshaw, Jeremy; Oxman, Andrew D

doi:10.1002/14651858.cd000259.pub3

Cited by 2,726 publications

(2,906 citation statements)

References 316 publications

Supporting

Mentioning

2,673

Contrasting

Unclassified

Order By: Relevance

“…80 Audit and feedback and benchmarking programmes that include explicit targets for change and suggestions for how change can be achieved are also effective. 81 …”

Section: Addressing Quality Of Carementioning

confidence: 99%

Stillbirths: recall to action in high-income countries

et al. 2016

View full text Add to dashboard Cite

Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19 439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20-30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.

show abstract

“…80 Audit and feedback and benchmarking programmes that include explicit targets for change and suggestions for how change can be achieved are also effective. 81 …”

Section: Addressing Quality Of Carementioning

confidence: 99%

Stillbirths: recall to action in high-income countries

et al. 2016

View full text Add to dashboard Cite

show abstract

“…A meta-analysis found that physician feedback is more effective when provided frequently, in writing, with an explicit action plan, and tied to incentives or accountability. 38 Future studies are needed to translate our proposed physician measures of imaging for low back pain into plans for actual interventions and then to assess the effectiveness of such interventions.…”

Section: Discussionmentioning

confidence: 99%

Variation among Primary Care Physicians in the Use of Imaging for Older Patients with Acute Low Back Pain

2015

View full text Add to dashboard Cite

BACKGROUND: Diagnostic imaging is not recommended in the evaluation and management of non-specific acute low back pain. OBJECTIVE: To estimate the variation among primary care providers (PCPs) in the use of diagnostic imaging for older patients with non-specific acute low back pain. DESIGN AND PARTICIPANTS: Retrospective cohort study using 100 % Texas Medicare claims data. We identified 145,320 patients aged 66 years and older with nonspecific acute low back pain during the period January 1, 2007, through November 30, 2011, cared for by 3297 PCPs. MAIN MEASURES: We tracked whether each patient received lumbar imaging (radiography, computed tomography [CT], or magnetic resonance imaging [MRI]) within 4 weeks of the initial visit. Multilevel logistic regression models were used to estimate physician-level variation in imaging use. KEY RESULTS: Among patients, 27.2 % received radiography and 11.1 % received CT or MRI within 4 weeks of the initial visit for low back pain. PCPs varied substantially in the use of imaging. The average rate of radiography within 4 weeks was 53.9 % for PCPs in the highest decile, compared to 6.1 % for PCPs in the lowest decile. The average rates of CT/MRI within 4 weeks were 18.5 % vs. 3.2 % for PCPs in the highest and lowest deciles, respectively. The specific physician seen by a patient accounted for 25 % of the variability in whether imaging was performed, while only 0.44 % of the variance was due to measured patient characteristics and 1.4 % to known physician characteristics. Use of imaging by individual physicians was stable over time. CONCLUSIONS: PCPs vary substantially in the use of imaging for non-specific acute low back pain. Providerlevel measures can be employed to provide feedback to physicians in an effort to modify imaging use.KEY WORDS: back pain; care management; practice variation; primary care; quality assessment.

show abstract

“…Information from patient complaints – a widely accepted measure of patient–provider relationships and patients’ satisfaction with services they receive – can contribute towards improved patients’ engagement in health services [1], improved quality of health services [2–11], health staff review, management and development [10,12–18], improved accountability [19–23], reduced abuse, assured compliance with standards and improved overall health systems performance [2,24]. Therefore, effective patient complaint management systems constitute a crucial component of well-performing national health systems.…”

Section: Introductionmentioning

confidence: 99%

“…the care they receive, staff expertise and availability of supplies [3,25,26]) and to complain when their experiences do not align with their expectations. Second, is the ability of the health system to adequately analyse, respond to, and utilise patient feedback – for example in health service quality improvement (QI) [5,9,25] or improving human resource management processes (HRM) [9,18,27,28]. A key lesson from recent reviews is the need for patient complaints to be a part of an integrated system that ensures patient feedback is responded to [8,29,30] and always acted upon [8,9,25,31].…”

Section: Introductionmentioning

confidence: 99%

Key strategies to improve systems for managing patient complaints within health facilities – what can we learn from the existing literature?

Mirzoev

Kane

2018

Global Health Action

View full text Add to dashboard Cite

Background: Information from patient complaints – a widely accepted measure of patient satisfaction with services – can inform improvements in service quality, and contribute towards overall health systems performance. While analyses of data from patient complaints received much emphasis, there is limited published literature on key interventions to improve complaint management systems. Objectives: The objectives are two-fold: first, to synthesise existing evidence and provide practical options to inform future policy and practice and, second, to identify key outstanding gaps in the existing literature to inform agenda for future research. Methods: We report results of review of the existing literature. Peer-reviewed published literature was searched in OVID Medline, OVID Global Health and PubMed. In addition, relevant citations from the reviewed articles were followed up, and we also report grey literature from the UK and the Netherlands. Results: Effective interventions can improve collection of complaints (e.g. establishing easy-to-use channels and raising patients’ awareness of these), analysis of complaint data (e.g. creating structures and spaces for analysis and learning from complaints data), and subsequent action (e.g. timely feedback to complainants and integrating learning from complaints into service quality improvement). No one single measure can be sufficient, and any intervention to improve patient complaint management system must include different components, which need to be feasible, effective, scalable, and sustainable within local context. Conclusions: Effective interventions to strengthen patient complaints systems need to be: comprehensive, integrated within existing systems, context-specific and cognizant of the information asymmetry and the unequal power relations between the key actors. Four gaps in the published literature represent an agenda for future research: limited understanding of contexts of effective interventions, absence of system-wide approaches, lack of evidence from low- and middle-income countries and absence of focused empirical assessments of behaviour of staff who manage patient complaints.

show abstract

Audit and feedback: effects on professional practice and healthcare outcomes

Cited by 2,726 publications

References 316 publications

Stillbirths: recall to action in high-income countries

Stillbirths: recall to action in high-income countries

Variation among Primary Care Physicians in the Use of Imaging for Older Patients with Acute Low Back Pain

Key strategies to improve systems for managing patient complaints within health facilities – what can we learn from the existing literature?

Contact Info

Product

Resources

About