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"Audit and feedback"

Tim Stokes, Elizabeth J Shaw, Janette Camosso-Stefinovic, Mari Imamura, Lovney Kanguru, Julia Hussein
BACKGROUND: Maternal mortality remains a major international health problem in low- and middle-income countries (LMIC), and most could have been prevented by quality improvement interventions already demonstrated to be effective, such as clinical guideline implementation strategies. The aim of this systematic review was to synthesise qualitative evidence on guideline implementation strategies to improve obstetric care practice in LMIC in order to identify barriers and enablers to their successful implementation...
October 22, 2016: Implementation Science: IS
Fiona Webster, Jigisha Patel, Kathleen Rice, Nancy Baxter, Lawrence Paszat, Linda Rabeneck, Jill Tinmouth
Background. Audit and feedback (A/F) reports are one of the few knowledge translation activities that can effect change in physician behavior. In this study, we pilot-tested an endoscopist A/F report to elicit opinions about the proposed report's usability, acceptability and usefulness, and implications for knowledge translation. Methods. Semi-structured qualitative interviews were conducted with eleven endoscopists in Ontario, Canada. We tested an A/F report template comprising 9 validated, accepted colonoscopy quality indicators populated with simulated data...
2016: Canadian Journal of Gastroenterology & Hepatology
Luke Wolfenden, Jannah Jones, Christopher M Williams, Meghan Finch, Rebecca J Wyse, Melanie Kingsland, Flora Tzelepis, John Wiggers, Amanda J Williams, Kirsty Seward, Tameka Small, Vivian Welch, Debbie Booth, Sze Lin Yoong
BACKGROUND: Despite the existence of effective interventions and best-practice guideline recommendations for childcare services to implement policies, practices and programmes to promote child healthy eating, physical activity and prevent unhealthy weight gain, many services fail to do so. OBJECTIVES: The primary aim of the review was to examine the effectiveness of strategies aimed at improving the implementation of policies, practices or programmes by childcare services that promote child healthy eating, physical activity and/or obesity prevention...
October 4, 2016: Cochrane Database of Systematic Reviews
Moayad A Al Zamil, Mostafa A Arafa
OBJECTIVE: To investigate the level of knowledge and awareness of the cost of the currently used blood investigations, imaging studies, admission cost, and surgical instrument among surgeons in Saudi Arabia. DESIGN: It was a cross-section study conducted in Riyadh city, the capital of Saudi Arabia. SETTING: Multihealth centers including main University hospital, Military hospitals, and Ministry of health hospitals. All surgeons in the health facilities were invited to participate in the study...
September 27, 2016: Journal of Surgical Education
Akie Arai, Masaki Tanabe, Akiko Nakamura, Daisuke Yamasaki, Yuichi Muraki, Toshihiro Kaneko, Ayako Kadowaki, Masaaki Ito
BACKGROUND: Our objectives were to evaluate the utility of electronic hand hygiene counting devices in outpatient settings and the impact of results feedback on physicians' hand hygiene behaviors. METHODS: We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely monitored physicians' hand hygiene practices during outpatient examinations and calculated the adherence rate as follows: number of hand hygiene counts divided by the number of outpatients examined multiplied by 100...
September 21, 2016: American Journal of Infection Control
K Dimassi, A Halouani, D Chelli, B Chanoufi, A Triki, F Gara
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
Annabel Hickey, Jessica Suna, Louise Marquart, Charles Denaro, George Javorsky, Andrew Munns, Alison Mudge, John J Atherton
BACKGROUND: To improve up-titration of medications to target dose in heart failure patients by improving communication from hospital to primary care. METHODS: This quality improvement project was undertaken within three heart failure disease management (HFDM) services in Queensland, Australia. A structured medication plan was collaboratively designed and implemented in an iterative manner, using methods including awareness raising and education, audit and feedback, integration into existing work practice, and incentive payments...
September 7, 2016: International Journal of Cardiology
Jeffrey Michael Smith, Shivam Gupta, Emma Williams, Kate Brickson, Keth Ly Sotha, Navuth Tep, Anthony Calibo, Mary Christine Castro, Bernabe Marinduque, Mark Hathaway
OBJECTIVE: To determine whether a simple quality improvement initiative consisting of a technical update and regular audit and feedback sessions will result in increased use of antenatal corticosteroids among pregnant women at risk of imminent preterm birth delivering at health facilities in the Philippines and Cambodia. DESIGN: Non-randomized, observational study using a pre-/post-intervention design conducted between October 2013 and June 2014. SETTING: A total of 12 high volume facilities providing Emergency Obstetric and Newborn Care services in Cambodia (6) and Philippines (6)...
September 10, 2016: International Journal for Quality in Health Care
Emily M Mader, Chester H Fox, John W Epling, Gary J Noronha, Carlos M Swanger, Angela M Wisniewski, Karen Vitale, Amanda L Norton, Christopher P Morley
BACKGROUND: Despite the current evidence of preventive screening effectiveness, rates of breast, cervical, and colorectal cancer in the United States fall below national targets. We evaluated the efficacy and feasibility of combining practice facilitation and academic detailing quality improvement (QI) strategies to help primary care practices increase breast, cervical, and colorectal cancer screening among patients. METHODS: Practices received a 1-hour academic detailing session addressing current cancer screening guidelines and best practices, followed by 6 months of practice facilitation to implement evidence-based interventions aimed at increasing patient screening...
September 2016: Journal of the American Board of Family Medicine: JABFM
Simon Morgan, Tony Saltis, Justin Coleman, Amanda Tapley, Parker Magin
BACKGROUND: The use of medical investigations is increasing, with most testing occurring in primary care. The interpretation of test results is challenging for general practice registrars. Additionally, emerging evidence suggests that over-testing is a significant problem and has the potential for patient harm. Test result audit and feedback (TRAFk) is a teaching and supervision method in general practice training, but no previous studies have investigated its utility. OBJECTIVE: The objective of this article is to describe the outcomes of an educational intervention for general practice supervisors on TRAFk...
July 2016: Australian Family Physician
Elizabeth A Lynch, Dominique A Cadilhac, Julie A Luker, Susan L Hillier
BACKGROUND: In 2011, more than half of the patients with stroke in Australian hospitals were not assessed for the need for rehabilitation. Further, there were no recommended criteria to guide rehabilitation assessment decisions. Subsequently, a decision-making tool called the Assessment for Rehabilitation Tool (ART) was developed. The ART was designed to assist Australian hospital clinicians to identify the rehabilitation needs of patients with stroke using evidence-based criteria. The ART was released and made freely available for use in 2012...
2016: Implementation Science: IS
Wouter T Gude, Sabine N van der Veer, Nicolette F de Keizer, Enrico Coiera, Niels Peek
Health informatics interventions such as clinical decision support (CDS) and audit and feedback (A&F) are variably effective at improving care because the underlying mechanisms through which these interventions bring about change are poorly understood. This limits our possibilities to design better interventions. Process evaluations can be used to improve this understanding by assessing fidelity and quality of implementation, clarifying causal mechanisms, and identifying contextual factors associated with variation in outcomes...
2016: Studies in Health Technology and Informatics
Richard Williams, Benjamin Brown, Niels Peek, Iain Buchan
We demonstrate, with application to hypertension management, an algorithm for reconstructing therapeutic decisions from electronic primary care medication prescribing records. These decisions concern the initiation, termination and alteration of therapy, and have further utility in: monitoring patient adherence to medication; care pathway analysis including process mining; advanced phenotype construction; audit and feedback; and in measuring care quality.
2016: Studies in Health Technology and Informatics
Paula Elouafkaoui, Linda Young, Rumana Newlands, Eilidh M Duncan, Andrew Elders, Jan E Clarkson, Craig R Ramsay
BACKGROUND: Dentists prescribe approximately 10% of antibiotics dispensed in UK community pharmacies. Despite clear clinical guidance, dentists often prescribe antibiotics inappropriately. This cluster-randomised controlled trial used routinely collected National Health Service (NHS) dental prescribing and treatment claim data to compare the impact of individualised audit and feedback (A&F) interventions on dentists' antibiotic prescribing rates. METHODS AND FINDINGS: All 795 antibiotic prescribing NHS general dental practices in Scotland were included...
August 2016: PLoS Medicine
Benjamin Brown, Panos Balatsoukas, Richard Williams, Matthew Sperrin, Iain Buchan
BACKGROUND: Audit and Feedback (A&F) is a widely used quality improvement technique that measures clinicians' clinical performance and reports it back to them. Computerised A&F (e-A&F) system interfaces may consist of four key components: (1) Summaries of clinical performance; (2) Patient lists; (3) Patient-level data; (4) Recommended actions. There is a lack of evidence regarding how to best design e-A&F interfaces; establishing such evidence is key to maximising usability, and in turn improving patient safety...
October 2016: International Journal of Medical Informatics
Pamela A Foral, Jennifer M Anthone, Christopher J Destache, Renuga Vivekanandan, Laurel C Preheim, Gary L Gorby, John M Horne, Leo A Dobronski, Javeria J Syed, Cezarina Mindru, Mir A Ali, Karim F Ali, Kari A Neemann, Marvin J Bittner
CONTEXT: Interprofessional education/interprofessional practice (IPE/IPP) is an essential component in medical education and training. A collaborative interprofessional team environment ensures optimal patient-centered care. OBJECTIVE: To describe the implementation of 2 interprofessional antimicrobial stewardship program (ASP) teams using IPE/IPP and to assess the acceptance rate by the primary medical and surgical teams of ASP recommendations for antimicrobial interventions...
September 1, 2016: Journal of the American Osteopathic Association
Stephanie Bjerrum, Frank Bonsu, Nii Nortey Hanson-Nortey, Ernest Kenu, Isik Somuncu Johansen, Aase Bengaard Andersen, Lars Bjerrum, Dorte Jarbøl, Anders Munck
BACKGROUND: Tuberculosis screening of people living with HIV (PLHIV) can contribute to early tuberculosis diagnosis and improved patient outcomes. Evidence-based guidelines for tuberculosis screening are available, but literature assessing their implementation and the quality of clinical practice is scarce. OBJECTIVES: To assess tuberculosis screening practices and the effectiveness of audit and performance feedback to improve quality of tuberculosis screening at HIV care clinics in Ghana...
2016: Global Health Action
Huahua Liu, Yu Shi, Yuting Shi, Ruiping Hu, Hong Jiang
BACKGROUND: Dysphagia, or difficulty in swallowing, is a serious and life-threatening medical condition that affects a significant number of individuals with acute neurological conditions such as stroke. Nurses, who are available to patients 24 hours a day in hospital are in an ideal position to identify individuals with swallowing difficulties and initiate interventions that may prevent further complications until a formal assessment can be undertaken. OBJECTIVES: The aim of this evidence implementation project was to improve nursing management of dysphagia in acute stroke patients and prevent the occurrence of aspiration in patients admitted to the neurology ward of Huashan Hospital, Fudan University, Shanghai...
July 2016: JBI Database of Systematic Reviews and Implementation Reports
Marijn Scholte, Catherina W M Neeleman-van der Steen, Philip J van der Wees, Maria W G Nijhuis-van der Sanden, Jozé Braspenning
OBJECTIVES: To explain the use of feedback reports for quality improvements by the reasons to participate in quality measuring projects and to identify barriers and facilitators. DESIGN: Mixed methods design. METHODS: In 2009-2011 a national audit and feedback system for physical therapy (Qualiphy) was initiated in the Netherlands. After each data collection round, an evaluation survey was held amongst its participants. The evaluation survey data was used to explain the use of feedback reports by studying the reasons to participate with Qualiphy with correlation measures and logistic regression...
2016: PloS One
Loretta Anderson, Kathryn Kynoch
AIM: The aim of this evidence-based practice project was to improve local practice in the treatment of breast engorgement in postnatal mothers and to ensure the treatment of engorgement in postnatal mothers is performed according to the best available evidence. METHODS: This evidence-based practice project took place in a 28-bed postnatal ward in a large metropolitan tertiary hospital. Twenty midwives and 20 in-patients were recruited for the project. The project utilized an audit and feedback design...
July 26, 2016: International Journal of Evidence-based Healthcare
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