Channelling the force of audit and feedback: averting the dark side

CORR Insights®: Can We Geographically Validate a Natural Language Processing Algorithm for Automated Detection of Incidental Durotomy Across Three Independent Cohorts From Two Continents?

“…Developers of QI efforts should be mindful that their intervention may create other unintended consequences leading to worse overall outcomes [7]. Specific to audit feedback, this could include performance anxiety, indifference among average performers, focus on the metric at the expense of other tasks, or fudging documentation (which may lead to more severe problems).…”

Walking the line between assessment, improvement and learning: a qualitative study on opportunities and risks of incorporating peer discussion of audit and feedback within quality improvement in general practice

“…Prior research clarified that insight into the opinions and ideas of stakeholders is indispensable to facilitate implementation and ensure effectiveness of this complex intervention. 24 To expand our knowledge on how to reach successful implementation of peer group discussions of AF for improving quality, we posed the following research questions: What are the views of stakeholders in general practice on peer discussion of AF? What opportunities and risks do stakeholders identify?…”

“…Although small-group peer discussion of AF seems promising, it is largely unknown what stakeholders in general practice think about giving this method a more prominent role in quality improvement. Prior research clarified that insight into the opinions and ideas of stakeholders is indispensable to facilitate implementation and ensure effectiveness of this complex intervention 24. To expand our knowledge on how to reach successful implementation of peer group discussions of AF for improving quality, we posed the following research questions: What are the views of stakeholders in general practice on peer discussion of AF?…”

You can lead clinicians to water, but you can’t make them drink: the role of tailoring in clinical performance feedback to improve care quality

“…CPF interventions must ‘fit’ properly within their context to optimise impact. Additionally, given that audit and feedback interventions may lead to unintended outcomes, including reduced confidence and cognitive interference,19 20 it may be helpful to prospectively use a theory-driven approach to identify possible unintended outcomes and mitigate the likelihood these occur 20. Although common contextual factors limiting the uptake of evidence are well documented (eg, available resources, values, individual beliefs, past experiences),21–23 how to adapt for contextual variations remains unclear.…”