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Audit and Feedback in the Hospitals of the Emergency Networks in the Lazio Region, Italy: A Cross-Sectional Evaluation of the State of Implementation

Authors :
Angioletti, C.
Pinnarelli, Luigi
Colais, P.
Angelici, L.
De Mattia, Egidio
Davoli, Marina
De Belvis, Antonio
Agabiti, N.
Acampora, Anna
Pinnarelli L.
de Mattia E.
Davoli M.
de Belvis A. (ORCID:0000-0003-4456-1937)
Acampora A.
Angioletti, C.
Pinnarelli, Luigi
Colais, P.
Angelici, L.
De Mattia, Egidio
Davoli, Marina
De Belvis, Antonio
Agabiti, N.
Acampora, Anna
Pinnarelli L.
de Mattia E.
Davoli M.
de Belvis A. (ORCID:0000-0003-4456-1937)
Acampora A.
Publication Year :
2023

Abstract

Audit and Feedback (A&F) is an effective multidimensional strategy for improving the quality of care. The optimal methods for its implementation remain unclear. This study aimed to map the state of art of A&F strategies in the hospitals involved in a time-dependent emergency network. For these purposes, a structured questionnaire was defined and discussed within the research group. This consists of 29 questions in three sections: (1) characteristics of the structure, (2) internal feedback systems, and (3) external feedback systems. All structures involved in the network were invited to participate in the e-survey by indicating a Health Management representative and a clinical representative for the Cardiovascular (CaV) and/or for the Cerebrovascular area (CeV). Of 20 structures invited, a total of 13 (65%) responded to the survey, 11 for the CaV area and 8 for the CeV area. A total of 10 of 11 (91%) facilities for the CaV area and 8/11 (75%) for the CeV area reported that they perform A&F activities. All facilities perform at least one of the activities defined as “assimilating A&F procedures.” The most frequent is the presentation and discussion of clinical cases (82% CaV and 88% CeV) and the least is the identification of responsible for improvement actions (45% CaV and 38% CeV). In 4/10 (40%) facilities for the CaV area and 4/8 (50%) for the CEV area, corrective actions are suggested or planned when the feedback is returned. These results confirm the need to define, in a synergistic way with the relevant stakeholders, an effective and agreed A&F intervention to improve the level of implementation of A&F strategies.

Details

Database :
OAIster
Notes :
English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1382661661
Document Type :
Electronic Resource