Developing effective feedback on quality of anaesthetic care: what are its most valuable characteristics from a clinical perspective?

Abstract

For clinicians to engage with effective quality monitoring and feedback, the perceived local relevance of indicators and trust in the credibility of the resulting data are paramount.

Factors influencing the effectiveness of audit and feedback: nurses' perceptions

“…Articles discussing the importance of information dissemination in A&F rarely describe whether this information relates to the understanding of the purpose of A&F or to the understanding of EBP (D'Lima et al . ). It is clear that understanding the purpose of A&F is important for nurses to partake in the process.…”

“…Regardless, the idea that a better understanding of its purpose leads to improved effectiveness of A&F does not seem to have been well discussed in the literature. Articles discussing the importance of information dissemination in A&F rarely describe whether this information relates to the ª 2016 John Wiley & Sons Ltd understanding of the purpose of A&F or to the understanding of EBP (D'Lima et al 2015). It is clear that understanding the purpose of A&F is important for nurses to partake in the process.…”

“…When nurses perceived that the feedback contained more criticisms and fewer acknowledgements, it could cause them to take A&F more personally and to respond negatively. In the literature, feedback that is perceived as supportive rather than punitive has been suggested to increase the effectiveness of A&F (Larson et al 2013, D'Lima et al 2015.…”

Safety lessons: shifting paradigms and new directions for patient safety research

“…The study by Benn and colleagues on performance feedback to clinicians emphasises the importance of tailoring interventions and information to the specific clinical setting (in this case, anaesthesia) in order to get engagement and commitment to safety measurement systems. 41 Despite being highlighted as a gap in the 2010 patient safety research call, few high-quality responses were received on the topic of patient involvement in patient safety. However, there were some important contributions, including a study by Birks and colleagues on 'open disclosure' to patients who have been harmed while receiving health care.…”

Continuous monitoring and feedback of quality of recovery indicators for anaesthetists: a qualitative investigation of reported effects on professional behaviour

“…12 17--23 Analysis of the predictors of perceived usefulness of data on quality of care for anaesthetists has shown that the most important characteristics for effective feedback are 1) the local relevance of quality indicators, and 2) the perceived credibility of the data. 24 Evaluations of feedback have been conducted in other clinical areas but not in a perioperative unit using personalised, individualised feedback for anaesthetists, based on quality indicators measured in the recovery room. 23 25--27 We implemented and evaluated one such intervention in the anaesthetics department of a large teaching hospital, demonstrating positive impact upon the rated quality of feedback available to anaesthetists, in addition to patient--reported quality of recovery indicators.…”