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Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback

Authors :
Grimshaw, JM
Ivers, N
Linklater, S
Foy, R
Francis, JJ
Gude, WT
Hysong, SJ
Alderson, S
Boet, S
Brehaut, J
Brown, B
Clarkson, J
Colquhoun, H
de Keizer, N
Desveaux, L
Dobell, G
Dunn, S
Farrin, A
Foy, RC
Greenberg, A
Hartley, S
Horsley, T
Ivers, NM
Landis-Lewis, Z
London, J
Lorencatto, F
Michie, S
O'Connor, D
Peek, N
Presseau, J
Ramsay, C
Sales, AE
Sprague, A
Stanworth, S
Sykes, M
Taljaard, M
Thavorn, K
Walker, M
Walwyn, R
Weiss, D
Willis, TA
Witteman, H
Grimshaw, JM
Ivers, N
Linklater, S
Foy, R
Francis, JJ
Gude, WT
Hysong, SJ
Alderson, S
Boet, S
Brehaut, J
Brown, B
Clarkson, J
Colquhoun, H
de Keizer, N
Desveaux, L
Dobell, G
Dunn, S
Farrin, A
Foy, RC
Greenberg, A
Hartley, S
Horsley, T
Ivers, NM
Landis-Lewis, Z
London, J
Lorencatto, F
Michie, S
O'Connor, D
Peek, N
Presseau, J
Ramsay, C
Sales, AE
Sprague, A
Stanworth, S
Sykes, M
Taljaard, M
Thavorn, K
Walker, M
Walwyn, R
Weiss, D
Willis, TA
Witteman, H
Publication Year :
2019

Abstract

Audit and feedback (A&F) is a commonly used quality improvement (QI) approach. A Cochrane review indicates that A&F is generally effective and leads to modest improvements in professional practice but with considerable variation in the observed effects. While we have some understanding of factors that enhance the effects of A&F, further research needs to explore when A&F is most likely to be effective and how to optimise it. To do this, we need to move away from two-arm trials of A&F compared with control in favour of head-to-head trials of different ways of providing A&F. This paper describes implementation laboratories involving collaborations between healthcare organisations providing A&F at scale, and researchers, to embed head-to-head trials into routine QI programmes. This can improve effectiveness while producing generalisable knowledge about how to optimise A&F. We also describe an international meta-laboratory that aims to maximise cross-laboratory learning and facilitate coordination of A&F research.

Details

Database :
OAIster
Publication Type :
Electronic Resource
Accession number :
edsoai.on1315669878
Document Type :
Electronic Resource