Clinical performance comparators in audit and feedback: a review of theory and evidence.

ABSTRACT:

Background

Audit and feedback (A&F) is a common quality improvement strategy with highly variable effects on patient care. It is unclear how A&F effectiveness can be maximised. Since the core mechanism of action of A&F depends on drawing attention to a discrepancy between actual and desired performance, we aimed to understand current and best practices in the choice of performance comparator.

Methods

We described current choices for performance comparators by conducting a secondary review of randomised trials of A&F interventions and identifying the associated mechanisms that might have implications for effective A&F by reviewing theories and empirical studies from a recent qualitative evidence synthesis.

Results

We found across 146 trials that feedback recipients' pe

SUBMITTER: Gude WT 

PROVIDER: S-EPMC6480497 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature