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

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 fa...

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Autores principales: Grimshaw, JM, Ivers, Noah, Linklater, Stefanie, Foy, Robbie, Francis, Jill J, Gude, Wouter T, Hysong, Sylvia J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559780/
https://www.ncbi.nlm.nih.gov/pubmed/30852557
http://dx.doi.org/10.1136/bmjqs-2018-008355
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author Grimshaw, JM
Ivers, Noah
Linklater, Stefanie
Foy, Robbie
Francis, Jill J
Gude, Wouter T
Hysong, Sylvia J
author_facet Grimshaw, JM
Ivers, Noah
Linklater, Stefanie
Foy, Robbie
Francis, Jill J
Gude, Wouter T
Hysong, Sylvia J
author_sort Grimshaw, JM
collection PubMed
description 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.
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spelling pubmed-65597802019-06-26 Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback Grimshaw, JM Ivers, Noah Linklater, Stefanie Foy, Robbie Francis, Jill J Gude, Wouter T Hysong, Sylvia J BMJ Qual Saf Research and Reporting Methodology 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. BMJ Publishing Group 2019-05 2019-03-09 /pmc/articles/PMC6559780/ /pubmed/30852557 http://dx.doi.org/10.1136/bmjqs-2018-008355 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0
spellingShingle Research and Reporting Methodology
Grimshaw, JM
Ivers, Noah
Linklater, Stefanie
Foy, Robbie
Francis, Jill J
Gude, Wouter T
Hysong, Sylvia J
Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
title Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
title_full Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
title_fullStr Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
title_full_unstemmed Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
title_short Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
title_sort reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
topic Research and Reporting Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559780/
https://www.ncbi.nlm.nih.gov/pubmed/30852557
http://dx.doi.org/10.1136/bmjqs-2018-008355
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