Evaluation of the Effectiveness of Guidelines, Audit and Feedback: Improving the use of Intravenous Thrombolysis in Patients with Suspected Acute Myocardial Infarction

Abstract

medical audit can be an effective means of improving the use of intravenous thrombolytics. It is possible that over auditing may result in greater inappropriate use.

Psychological Treatments for Psychosis: Evidence Based but Unavailable?

“…In this area, the research trials that established efficacy had been completed by 1973. However in a study by Robinson et al (1996) the proportion of patients receiving such treatment (a seemingly straightforward and uncontroversial one compared to psychological treatments) ranged from 57% to in four different hospitals. Baker and Firth-Cozens also point out that the gap between efficacy trials and Clinical Guidelines was at least 13 years.…”

Implementing a Measurement Feedback System in Community Mental Health Clinics: A Case Study of Multilevel Barriers and Facilitators

“…MFSs have been found to have a positive impact on outcomes in different subspecialties of medicine (Duncan & Pozehl, 2000; Goebel, 1997; Holmboe, Scranton, Sumption, & Hawkins, 1998; Leshan, Fitzsimmons, Marbella, & Gottlieb, 1997; Mazonson et al, 1996; Robinson, Thompson, & Black., 1996; Rokstad, Straand, & Fugelli, 1995; Tabenkin et al, 1995), education (Arco, 1997; Furman, Adamek, & Furman, 1992; Mortenson & Witt, 1998; Rose & Church, 1998; Tuckman & Yates, 1980), and mental health (Chorpita, Bernstein & Daleiden, 2008; Chorpita, Bernstein, Daleiden, 2011; Howe, 1996; Lambert et al, 2001; Lambert et al, 2005; Lambert, Hansen & Finch, 2001; Mazonson et al, 1996). While quality improvement tools, such as MFSs (Cebul, 2008), have been successfully applied for several decades (Kluger & Denisi, 1996; Rose & Church, 1998), their use is not widespread within children’s mental health services.…”

Quality of care of patients hospitalized with acute coronary syndromes

“…In improving care of patients with ACS, controlled trials conducted in the USA, 26,27 the United Kingdom 28 and Queensland 29 have shown the positive effects of guideline‐linked audit and feedback, 26−29 implementation of critical care paths, 26,27 targeted professional tuition 28,29 and combinations of multiple strategies 27−29 on the use of key pharma­cotherapies (such as thrombolysis, aspirin and beta‐blockers). These methods, together with innovative techniques such as patient education tools 18 and portable decision‐support systems, 19 are being adopted within quality improvement projects with positive results.…”