Audit and feedback had small but potentially important improvements in professional practice

Abstract

league, that it is provided more than once, it is given both verbally and in writing and it includes clear targets and an action plan.How does audit compare to other ways of changing clinician performance? The EPOC reviews suggest that there could be a positive risk difference with educational meetings of 6%, with the use of local opinion leaders of 9% and with educational outreach visits, 5.6%. Audit is a component of clinical governance in the NationalHealth Service here in the UK as it is seen as part of the drive to improve care quality 7 . This review suggests that its effect in such a process may be small but given the large number of patients treated even small changes can result in large improvements in patient care.

Doctors learn new tricks, but do they remember them? Lack of effect of an educational intervention in improving Oxygen prescribing

“…Large‐scale reviews suggest that intervention via educational meetings and printed educational materials can provide some improvement in performance. Furthermore, the cycle of audit and feedback does seem to provide improvements in practice . Importantly however, these papers do not assess the sustainability of improvements made.…”

Impact of an intervention on the prescription of aliskiren after new evidence on safety reported

“…Focusing on interventions for prescription, several reviews on the impact of interventions on the improvement/optimization of prescribing habits show that these can be positive, and although their impact is moderate on an individual basis, their low cost and possibility of modulation, when backed up by information, provide an enormous potential to prevent drug iatrogenic. The most effective interventions are those that are implemented in combination with other interventions, or those that are individualized, participatory, adjusted to the setting, repeated over time, with appropriate monitoring, or those with good support material …”

“…Nevertheless, the coincidence in the timing of the issuance of the alert with the educational intervention, in addition to some elements of the design, 8 limited the causal attribution of the results to one or another circumstance, and therefore, they were owed presumably to an interaction between both types of intervention. 30 Focusing on interventions for prescription, several reviews on the impact of interventions on the improvement/optimization of prescribing habits [32][33][34][35] show that these can be positive, and although their impact is moderate on an individual basis, their low cost and possibility of modulation, when backed up by information, provide an enormous potential to prevent drug iatrogenic. The most effective interventions are those that are implemented in combination with other interventions, or those that are individualized, participatory, adjusted to the setting, repeated over time, with appropriate monitoring, or those with good support material.…”

Description of a multidisciplinary initiative to improve SCIP measures related to pre-operative antibiotic prophylaxis compliance: a single-center success story

“…The committee members that evaluated errors and provided feedback met this latter criterion. Additional characteristics of a successful prescriber audit are when the feedback is provided more than once, as we did with repeat offenses, when it is both verbal and written and when targets, guidelines and actions are described within the letter or commentary [19]. …”