Other
Audit and Feedback Tools
Other
Click on the titles below to view a summary of the Audit and Feedback Tool and a link for getting access to it.
Attention deficit hyperactivity disorder (ADHD)
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Clinical condition ADHD Clinical behaviour category Screening Recipient/Clinical discipline GP/family Setting Primary care Country USA Audit and feedback tool A&F TOOL (PDF) Format Written, verbal Language English Citation Fiks AG, Mayne SL, Michel JJ, Miller J, Abraham M, Suh A, Jawad AF, Guevara JP, Grundmeier RW, Blum NJ, Power TJ. Distance-Learning, ADHD Quality Improvement in Primary Care: A Cluster-Randomized Trial. Journal of Developmental and Behavioral Pediatrics. 2017 Oct;38(8):573-583. Year published 2017 Description of groups Control: no intervention; Intervention: education + expert consultations + A&F
Blood transfusions
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Clinical condition Blood transfusions Clinical behaviour category Treatment decision/action Recipient/Clinical discipline Transfusion teams (transfusion clinician, haematologist, transfusion laboratory manager) Setting Hospital Country UK Audit and feedback tool A&F TOOL (eAppendix 2) (PDF) Format Electronic dashboard Language English Citation Stanworth SJ, Walwyn R, Grant-Casey J, Hartley S, Moreau L, Lorencatto F, Francis J, Gould N, Swart N, Rowley M, Morris S, Grimshaw J, Farrin A, Foy R; AFFINITIE Collaborators. Effectiveness of enhanced performance feedback on appropriate use of blood transfusions: a comparison of 2 cluster randomized trials. JAMA Network Open. 2022 Feb 1;5(2):e220364. Year published 2022 Description of groups Intervention 1: Standard A&F content (detailed report (approximately 50 pages long), a regional presentation slide set, and (sometimes) action plan templates) and standard support; Intervention 2: Standard A&F content and enhanced support (toolkit that disseminates findings to all relevant clinical staff involved in transfusion decision-making; localised, team level goal-setting, problem-solving, and action planning to change practice; and continued local monitoring of practice);
Intervention 3: Enhanced A&F content (a brief report highlighting comparative performance and recommendations for selected key audit standards (maximum of 6 pages), a longer report covering all audit standards (maximum of 34 pages), and the longer, detailed standard report) and standard support
Central line-associated bloodstream infections (CLABSI)
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Clinical condition Central line-associated bloodstream infections Clinical behaviour category Other Recipient/Clinical discipline Nursing staff Setting Hospital inpatient Country USA Audit and feedback tool A&F TOOL (PDF) Format Written (email, poster) Language English Citation Reynolds SS, Woltz P, Keating E, Neff J, Elliott J, Hatch D, Yang Q, Granger BB. Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation Science. 2021 Apr 26;16(1):45. Year published 2021 Description of groups Control: no intervention; Intervention: A&F and educational outreach
Childhood illness
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Clinical condition Childhood illness Clinical behaviour category Treatment decision/action Recipient/Clinical discipline Community health workers Setting Community care Country Mali Audit and feedback tool A&F TOOL (Figure 4) (PDF) Format Electronic dashboard Language English Citation Whidden C, Kayentao K, Liu JX, Lee S, Keita Y, Diakité D, Keita A, Diarra S, Edwards J, Yembrick A, Holeman I, Samaké S, Plea B, Coumaré M, Johnson AD. Improving Community Health Worker performance by using a personalised feedback dashboard for supervision: a randomised controlled trial. Journal of Global Health. 2018 Dec;8(2):020418. Year published 2018 Description of groups Intervention 1: performance dashboard + supervision + A&F; Intervention 2: supervision + A&F
Hand hygiene
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Clinical condition Hand hygiene Clinical behaviour category Other Recipient/Clinical discipline GP/family/internal medicine Setting Hospital inpatient Country UK Audit and feedback tool A&F TOOL (PDF) Format Verbal (interactive) Language English Citation Fuller C, Michie S, Savage J, McAteer J, Besser S, Charlett A, Hayward A, Cookson BD, Cooper BS, Duckworth G, Jeanes A, Roberts J, Teare L, Stone S. The Feedback Intervention Trial (FIT)--improving hand-hygiene compliance in UK healthcare workers: a stepped wedge cluster randomised controlled trial. PLoS One. 2012;7(10):e41617. Year published 2012 Description of groups Control: no intervention; Intervention: A&F
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Clinical condition Hand hygiene Clinical behaviour category Other Recipient/Clinical discipline Nurses Setting Hospital inpatient Country Netherlands Audit and feedback tool A&F TOOL (PDF) Format Written Language Dutch Citation Huis A, Schoonhoven L, Grol R, Donders R, Hulscher M, van Achterberg T. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. International Journal of Nursing Studies. 2013 Apr;50(4):464-74. Year published 2013 Description of groups Intervention 1: education + reminders + A&F+ targeting adequate products and facilities; Intervention 2: education + reminders + A&F + targeting adequate products and facilities + commitment from management + modelling from leaders + norms + target setting
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Clinical condition Hand hygiene Clinical behaviour category Treatment decision/action Recipient/Clinical discipline Internal medicine Setting Hospital inpatient Country Switzerland Audit and feedback tool A&F TOOL (1) (PDF) / A&F TOOL (2) (PPT) Format Written, verbal Language French, English Citation Stewardson AJ, Sax H, Gayet-Ageron A, Touveneau S, Longtin Y, Zingg W, Pittet D. Enhanced performance feedback and patient participation to improve hand hygiene compliance of health-care workers in the setting of established multimodal promotion: a single-centre, cluster randomised controlled trial. The Lancet Infectious Diseases. 2016 Dec;16(12):1345-1355. Year published 2016 Description of groups Control: no intervention; Intervention 1: A&F;
Intervention 2: A&F + patient participation
Hypothermia
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Clinical condition Hypothermia Clinical behaviour category Treatment decision/action Recipient/Clinical discipline Anaesthesiology Setting Hospital inpatient Country Canada Audit and feedback tool A&F TOOL (Appendix 2) (PDF) Format Written Language English Citation Boet S, Bryson GL, Taljaard M, Pigford AA, McIsaac DI, Brehaut J, Forster A, Mohamed K, Clavel N, Pysyk C, Grimshaw JM; Canadian Perioperative Anesthesia Clinical Trials Group. Effect of audit and feedback on physicians' intraoperative temperature management and patient outcomes: a three-arm cluster randomized-controlled trial comparing benchmarked and ranked feedback. Canadian Journal of Anaesthesia. 2018 Nov;65(11):1196-1209. English. Year published 2018 Description of groups Control: no intervention; Intervention 1: benchmarked A&F;
Intervention 2: ranked A&F
Influenza
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Clinical condition Seasonal influenza vaccine Clinical behaviour category Immunisation Recipient/Clinical discipline Pharmacists Setting Pharmacy Country USA Audit and feedback tool A&F TOOL (eMethods) (PDF) Format Electronic dashboard (software based) Language English Citation Loiacono MM, Nelson CB, Grootendorst P, Webb MD, Lee Hall L, Kwong JC, Mitsakakis N, Zulueta S, Chit A. Impact of a peer comparison intervention on seasonal influenza vaccine uptake in community pharmacy: a national cluster randomized study. Journal of the American Pharmacists Association. 2021 Sep-Oct;61(5):539-546.e5. Year published 2021 Description of groups Control: no intervention; Intervention: A&F with peer comparison
Kidney disease, heart failure, gastrointestinal bleeding
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Clinical condition Renal failure Clinical behaviour category Treatment decision/action Recipient/Clinical discipline Nephrology Setting Dialysis centres Country USA Audit and feedback tool A&F TOOL (Appendix A) (PDF) Format Written Language English Citation Balas EA, Boren SA, Hicks LL, Chonko AM, Stephenson K. Effect of linking practice data to published evidence. A randomized controlled trial of clinical direct reports. Medical Care. 1998 Jan;36(1):79-87. Year published 1998 Description of groups Control: no intervention; Intervention: 12 monthly reports combining center specific information or practice patterns with the latest published evidence
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Clinical condition Gastrointestinal ulcer/bleeding, heart failure, acute kidney injury Clinical behaviour category Prescribing Recipient/Clinical discipline GP/family Setting Primary care Country UK Audit and feedback tool A&F TOOL (PDF) Format Written, verbal Language English Citation Dreischulte T, Donnan P, Grant A, Hapca A, McCowan C, Guthrie B. Safer Prescribing--A Trial of Education, Informatics, and Financial Incentives. The New England Journal of Medicine. 2016 Mar 17;374(11):1053-64. Year published 2016 Description of groups Control: no intervention; Intervention: clinician education + financial incentives + A&F
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Clinical condition Other: Kidney injury, CVD Clinical behaviour category Treatment decision/action Recipient/Clinical discipline Cardiologist Setting Cardiology clinic Country Canada Audit and feedback tool A&F TOOL (PDF) Format Written Language English Citation James MT, Har BJ, Tyrrell BD, Faris PD, Tan Z, Spertus JA, Wilton SB, Ghali WA, Knudtson ML, Sajobi TT, Pannu NI, Klarenbach SW, Graham MM. Effect of clinical decision support with audit and feedback on prevention of acute kidney injury in patients undergoing coronary angiography: a randomized clinical trial. JAMA. 2022 Sep 6;328(9):839-849. Year published 2022 Description of groups Control: usual care; Intervention: A&F + educational session + decision aid
Oral health
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Clinical condition Oral health Clinical behaviour category Other Recipient/Clinical discipline Dental nurses Setting Dental clinic Country Thailand Audit and feedback tool A&F TOOL (PDF) Format Written, verbal Language English Citation Tianviwat S, Hintao J, Chongsuvivatwong V, Thitasomakul S. A randomized controlled trial of cluster audit and feedback on the quality of dental sealant for rural schoolchildren. Community Dental Health. 2016 Mar;33(1):27-32. Year published 2016 Description of groups Control: no intervention; Intervention: A&F + clinical education
Pain management in intensive care
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Clinical condition Pain management (ICU) Clinical behaviour category Screening Recipient/Clinical discipline Emergency medicine Setting Hospital inpatient Country Netherlands Audit and feedback tool A&F TOOL (PDF) Format Electronic dashboard Language English Citation Roos-Blom MJ, Gude WT, de Jonge E, Spijkstra JJ, van der Veer SN, Peek N, Dongelmans DA, de Keizer NF. Impact of audit and feedback with action implementation toolbox on improving ICU pain management: cluster-randomised controlled trial. BMJ Quality & Safety. 2019 Dec;28(12):1007-1015. Year published 2019 Description of groups Intervention 1: A&F + action planning template; Intervention 2: A&F + action planning template + action implementation toolbox
Prescribing/test ordering – various clinical areas
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Clinical condition Prescribing: Gabapentinoids Clinical behaviour category Prescribing Recipient/Clinical discipline Primary care physicians Setting Primary care Country Australia Audit and feedback tool A&F TOOL (Figure 1, digital version) (PDF) Format Electronic dashboard, written Language English Citation Andrade AQ, Calabretto JP, Pratt NL, Kalisch-Ellett LM, Kassie GM, LeBlanc VT, Ramsay E, Roughead EE. Implementation and evaluation of a digitally enabled precision public health intervention to reduce inappropriate gabapentinoid prescription: cluster randomized controlled trial. Journal of Medical Internet Research. 2022 Jan 10;24(1):e33873. DOI: 10.2196/33873
Year published 2022 Description of groups Intervention 1: A&F + educational materials in DIGITAL format; Intervention 2: A&F + educational materials in POSTAL letter format
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Clinical condition Prescribing: opioid analgesics Clinical behaviour category Prescribing Recipient/Clinical discipline Primary care physicians, physician assistants and nurse practitioners Setting Hospital inpatient Country USA Audit and feedback tool A&F TOOL (Appendix Exhibit 1, 2, 3) (PDF) Format Written Language English Citation Crowley AP, Sun C, Yan XS, Navathe A, Liao JM, Patel MS, Pagnotti D, Shen Z, Delgado MK. Disparities in emergency department and urgent care opioid prescribing before and after randomized clinician feedback interventions. Academic Emergency Medicine. 2023 Aug;30(8):809-818. DOI: 10.1111/acem.14717
Navathe AS, Liao JM, Yan XS, Delgado MK, Isenberg WM, Landa HM, Bond BL, Small DS, Rareshide CAL, Shen Z, Pepe RS, Refai F, Lei VJ, Volpp KG, Patel MS. The effect of clinician feedback interventions on opioid prescribing. Health Affairs. 2022 Mar;41(3):424-433.
Year published 2022, 2023 Description of groups Control: usual care; Intervention 1: A&F;
Intervention 2: peer benchmarking;
Intervention 3: A&F + peer benchmarking
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Clinical condition Prescribing: antipsychotics, non-steroidal anti-inflammatories, and antiplatelets Clinical behaviour category Prescribing Recipient/Clinical discipline GP/family Setting Primary care Country UK Audit and feedback tool A&F TOOL (PDF) Format Written Language English Citation Guthrie B, Kavanagh K, Robertson C, Barnett K, Treweek S, Petrie D, Ritchie L, Bennie M. Data feedback and behavioural change intervention to improve primary care prescribing safety (EFIPPS): multicentre, three arm, cluster randomised controlled trial. BMJ. 2016 Aug 18;354:i4079. DOI: 10.1136/bmj.i4079
Year published 2016 Description of groups Intervention 1: A&F; Intervention 2: A&F + behavioural change materials
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Clinical condition Prescribing Clinical behaviour category Prescribing Recipient/Clinical discipline GP/family Setting Primary care Country Malaysia Audit and feedback tool A&F TOOL (PDF) Format Written, verbal Language English Citation Lim WY, Hss AS, Ng LM, John Jasudass SR, Sararaks S, Vengadasalam P, Hashim L, Praim Singh RK. The impact of a prescription review and prescriber feedback system on prescribing practices in primary care clinics: a cluster randomised trial. BMC Family Practice. 2018 Jul 19;19(1):120. Year published 2018 Description of groups Control: no intervention; Intervention 1: Structured prescription review + full A&F;
Intervention 2: Structured prescription review + partial A&F
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Clinical condition Prescribing Clinical behaviour category Prescribing Recipient/Clinical discipline Primary care physicians Setting Nursing homes Country Canada Audit and feedback tool A&F TOOL (PDF) Format Written Language English Citation McCleary N, Desveaux L, Presseau J, Reis C, Witteman HO, Taljaard M, Linklater S, Thavorn K, Dobell G, Mulhall CL, Lam JMC, Grimshaw JM, Ivers NM. Engagement is a necessary condition to test audit and feedback design features: results of a pragmatic, factorial, cluster-randomized trial with an embedded process evaluation. Implementation Science. 2023 May 10;18(1):13. Year published 2023 Description of groups Intervention 1: 67 clusters (median benchmark, benefit framing); Intervention 2: 65 clusters (top quartile benchmark, benefit framing);
Intervention 3: 75 clusters (median benchmark, risk framing);
Intervention 4: 60 clusters (top quartile benchmark, risk framing)
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Clinical condition Prescribing: opioid analgesics Clinical behaviour category Prescribing Recipient/Clinical discipline Primary care physicians Setting Primary care Country Canada Audit and feedback tool A&F TOOL (PDF) Format Written Language English Citation McCracken RK, Narayan S, Maclure M, Cooper I, Cui Z, Cullen W, Dormuth C, Hamilton MA, Nolan S, Singer J, Socías ME, Wong S, Klimas J. Evaluation of audit and feedback to family physicians on prescribing of opioid analgesics to opioid-naïve patients: A pragmatic randomized delay trial. Contemporary Clinical Trials. 2023 Nov;134:107354. Year published 2023 Description of groups Intervention 1: Early feedback via mail; Intervention 2: Delayed feedback via mail
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Clinical condition Prescribing: statins Clinical behaviour category Treatment decision/action Recipient/Clinical discipline Internal medicine Setting Hospital inpatient Country USA Audit and feedback tool A&F TOOL (PDF) Format Electronic dashboard Language English Citation Patel S, Rajkomar A, Harrison JD, Prasad PA, Valencia V, Ranji SR, Mourad M. Next-generation audit and feedback for inpatient quality improvement using electronic health record data: a cluster randomised controlled trial. BMJ Quality and Safety. 2018 Sep;27(9):691-699. Year published 2018 Description of groups Intervention 1: A&F only; Intervention 2: A&F + online dashboard + in-person data review
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Clinical condition Prescribing: benzodiazepines Clinical behaviour category Prescribing Recipient/Clinical discipline GP/family Setting Primary care Country Canada Audit and feedback tool A&F TOOL (Appendix 1) (PDF) Format Written Language English Citation Pimlott NJ, Hux JE, Wilson LM, Kahan M, Li C, Rosser WW. Educating physicians to reduce benzodiazepine use by elderly patients: a randomized controlled trial. Canadian Medical Association Journal. 2003 Apr 1;168(7):835-9. Year published 2003 Description of groups Intervention 1: A&F + educational materials (for benzodiazepines); Intervention 2: A&F + educational materials (for antihypertensive drugs)
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Clinical condition Prescribing: opioids Clinical behaviour category Screening, prescribing, testing/exams, counselling Recipient/Clinical discipline GP/family Setting Primary care Country USA Audit and feedback tool A&F TOOL (PPT) Format Verbal (interactive) Language English Citation Quanbeck A, Brown RT, Zgierska AE, Jacobson N, Robinson JM, Johnson RA, Deyo BM, Madden L, Tuan WJ, Alagoz E. A randomized matched-pairs study of feasibility, acceptability, and effectiveness of systems consultation: a novel implementation strategy for adopting clinical guidelines for Opioid prescribing in primary care. Implementation Science. 2018 Jan 25;13(1):21. Year published 2018 Description of groups Control: no intervention; Intervention: A&F + academic detailing + organizational coaching
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Clinical condition Prescribing: various clinical areas Clinical behaviour category Treatment decision/action Recipient/Clinical discipline Long-term care Setting Nursing homes Country USA Audit and feedback tool A&F TOOL (Figure 1) (PDF) Format Written, verbal Language English Citation Rantz MJ, Popejoy L, Petroski GF, Madsen RW, Mehr DR, Zwygart-Stauffacher M, Hicks LL, Grando V, Wipke-Tevis DD, Bostick J, Porter R, Conn VS, Maas M. Randomized clinical trial of a quality improvement intervention in nursing homes. The Gerontologist. 2001 Aug;41(4):525-38. Year published 2001 Description of groups Control: no intervention; Intervention 1: educational workshops + educational materials + A&F;
Intervention 2: educational workshops + educational materials + A&F + access to telephone and/or on-site clinical nurse specialist
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Clinical condition Laboratory test ordering Clinical behaviour category Testing/exams Recipient/Clinical discipline Internal medicine Setting Hospital inpatient Country USA Audit and feedback tool A&F TOOL (PDF) Format Electronic dashboard Language English Citation Ryskina K, Jessica Dine C, Gitelman Y, Leri D, Patel M, Kurtzman G, Lin LY, Epstein AJ. Effect of Social Comparison Feedback on Laboratory Test Ordering for Hospitalized Patients: A Randomized Controlled Trial. Journal of General Internal Medicine. 2018 Oct;33(10):1639-1645. Year published 2018 Description of groups Control: no intervention; Intervention: A&F
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Clinical condition Prescribing: parenteral steroids Clinical behaviour category Prescribing Recipient/Clinical discipline GP Setting Primary care Country Iran Audit and feedback tool A&F TOOL (PDF) Format Written Language English, Arabic Citation Sarafinejad A, Noori MR, Haghdoost AA, Bahaadinbeigy K, Abu-Hanna A, Eslami S. The effect of registry-based performance feedback via short text messages and traditional postal letters on prescribing parenteral steroids by general practitioners--A randomized controlled trial. International Journal of Medical Informatics. 2016 Mar;87:36-43. Year published 2016 Description of groups Intervention 1: paper letter A&F on ratio of antibiotics, parenteral steroids, and systemic steroids; Intervention 2: paper letter A&F on ratio of antibiotics, parenteral steroids;
Intervention 3: text message A&F on parenteral steroids
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Clinical condition Prescribing Clinical behaviour category Prescribing, treatment decision/action, other Recipient/Clinical discipline GP/family Setting Primary care Country Sweden Audit and feedback tool A&F TOOL (xlsx) Format Written, verbal Language English Citation Schmidt-Mende K, Andersen M, Wettermark B, Hasselström J. Educational intervention on medication reviews aiming to reduce acute healthcare consumption in elderly patients with potentially inappropriate medicines-A pragmatic open-label cluster-randomized controlled trial in primary care. Pharmacoepidemiology & Drug Safety. 2017 Nov;26(11):1347-1356. DOI: 10.1002/pds.4263
Year published 2017 Description of groups Control: no intervention; Intervention: A&F + educational outreach/materials + reminders
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Clinical condition Prescribing: antibiotics, antipsychotics Clinical behaviour category Prescribing Recipient/Clinical discipline Primary care providers (family physicians, nurse practitioners and community paediatricians) Setting Primary care Country Canada Audit and feedback tool A&F TOOL (PDF) Format Written Language English Citation Singer A, Kosowan L, Abrams EM, Katz A, Lix L, Leong K, Paige A. Implementing an audit and feedback cycle to improve adherence to the Choosing Wisely Canada recommendations: clustered randomized trail. BMC Primary Care. 2022 Nov 26;23(1):302. Year published 2022 Description of groups Control: did not receive any data specific to their prescribing; Intervention 1: Standard feedback report with a one-page summary of the Choosing Wisely Canada (CWC) recommendations of interest;
Intervention 2: Standard feedback report, CWC recommendation summary and practice-specific data related to their prescribing rates for the CWC recommendations of interest, compared to rates for other providers at their clinic, in their health region and in the province
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Clinical condition Prescribing: antipsychotics Clinical behaviour category Prescribing Recipient/Clinical discipline GP/family/internal medicine Setting Nursing homes Country USA Audit and feedback tool A&F TOOL (PDF) Format Written Language English Citation Tjia J, Field T, Mazor K, Lemay CA, Kanaan AO, Donovan JL, Briesacher BA, Peterson D, Pandolfi M, Spenard A, Gurwitz JH. Dissemination of Evidence-Based Antipsychotic Prescribing Guidelines to Nursing Homes: A Cluster Randomized Trial. Journal of the American Geriatrics Society. 2015 Jul;63(7):1289-98. DOI: 10.1111/jgs.13488
Year published 2015 Description of groups Intervention 1: toolkit only; Intervention 2: toolkit plus feedback;
Intervention 3: toolkit plus feedback plus detailing
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Clinical condition Prescribing: nimodipine Clinical behaviour category Prescribing Recipient/Clinical discipline Primary care physicians Setting Other outpatient Country Argentina Audit and feedback tool A&F TOOL (PDF) Format Written Language English Citation Torrente F, Bustin J, Triskier F, Ajzenman N, Tomio A, Mastai R, Lopez Boo F. Effect of a social norm email feedback program on the unnecessary prescription of nimodipine in ambulatory care of older adults: a randomized clinical trial. JAMA Network Open. 2020 Dec 1;3(12):e2027082. Year published 2020 Description of groups Intervention 1: A&F emails x2; Intervention 2: educational emails
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Clinical condition Prescribing, test ordering – various clinical areas Clinical behaviour category Prescribing, testing/exams Recipient/Clinical discipline GP/family Setting Primary care Country Netherlands Audit and feedback tool A&F TOOL (Figure 1) (PDF) Format Written, verbal Language English Citation Trietsch J, van Steenkiste B, Grol R, Winkens B, Ulenkate H, Metsemakers J, van der Weijden T. Effect of audit and feedback with peer review on general practitioners' prescribing and test ordering performance: a cluster-randomized controlled trial. BMC Family Practice. 2017 Apr 13;18(1):53. Year published 2017 Description of groups Control: no intervention; Intervention: A&F + educational meetings + educational materials + opinion leaders
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Clinical condition Prescribing: potentially inappropriate medications Clinical behaviour category Prescribing Recipient/Clinical discipline Emergency department clinicians Setting Emergency departments Country USA Audit and feedback tool A&F TOOL (PDF) Format Electronic dashboard, verbal Language English Citation Vaughan CP, Burningham Z, Kelleher JL, McGwin G, Jasien CL, Hastings SN, Stevens MB, Morris I, Jackson GL; The EQUIPPED VA Implementation QI Group. A cluster-randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. Academic Emergency Medicine. 2023 Apr;30(4):340-348. DOI: 10.1111/acem.14697
Year published 2023 Description of groups Intervention 1: In-person A&F (one-to-one (1:1) academic detailing from a professional colleague that included in-person audit, feedback, and peer benchmarking and on-site engagement); Intervention 2: Dashboard A&F (monthly provider feedback via an electronic dashboard with an emailed summary and link to view detailed prescribing audit, feedback, and peer benchmarking)
Surgery
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Clinical condition Surgery (hernia repair, cholecystectomy, appendectomy, bariatric, colorectal, hepatopancreatic, oesophageal, gastric) Clinical behaviour category Other Recipient/Clinical discipline Surgeons, anaesthesiologists, nurses Setting Hospital inpatient Country France Audit and feedback tool A&F TOOL (PDF) Format Written, verbal Language English Citation Skinner S, Pascal L, Polazzi S, Chollet F, Lifante JC, Duclos A; SHEWHART Trial Group. Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial. BMJ Quality & Safety. 2024 Apr 24;33(5):284-292. Year published 2024 Description of groups Control: no specific actions implemented; Intervention: Quarterly with control charts for monitoring their surgical outcomes (inpatient death, intensive care stay, reoperation and severe complications)
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