Changing surgical practice through feedback of performance data

Abstract

The findings indicate that if change in practice is to be achieved by the feedback of performance data, then the process of feedback should be active and within a normative re-educative approach to change.

Reducing surgical nurses’ aseptic practice‐related stress

“…In international studies, the compliance with infection control precautions is usually reported to remain suboptimal (Larson & Kretzer 1995, Pittet et al. 2000, Reilly et al. 2002, Flin et al.…”

Outcomes‐Focused Knowledge Translation: A Framework for Knowledge Translation and Patient Outcomes Improvement

“…In our review of this literature we found seven studies that utilized weekly feedback; all reported that weekly feedback changed clinician behavior (Boekeloo et al 1990; Buffington et al 1991; Cohen et al 1982; Everett et al 1983; Manheim et al 1990; Martin et al 1980; Sommers et al 1984). Positive effects were reported among studies employing monthly (Andrews et al 2001; Buntinx et al 1993; Chassin & McCue 1986; Kiefe et al 2001; McPhee et al 1989; Reilly et al 2002) and quarterly feedback (Gutierrez et al 1994; Jones et al 1996; Lomas et al 1991; Raasch et al 2000), although negative or nonsignificant findings were also noted (Lomas et al 1991; Sondergaard et al 2003; Wones 1987). With the exception of one study (Dijkstra et al 2004), semiannual feedback did not lead to changes in clinician behavior (Eccles et al 2001; Hillman et al 1998; Horner et al 2005).…”

Audits Can Improve Neurosurgical Practice – Illustrated by Endoscopic Third Ventriculostomy

“…However, systematic reviews of controlled trials and before-after studies of audit and other behavioral change mechanisms show mixed results [10,11,12,13]. A few articles have addressed the effect of audit on the practice of surgery [14,15,16,17,18,19,20,21], but we have not found studies conducted to assess the effect of audit on the surgeons’ clinical practice in the neurosurgical literature.…”