Cargando…
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...
Autores principales: | , , , , , , |
---|---|
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 |
_version_ | 1783425861186224128 |
---|---|
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. |
format | Online Article Text |
id | pubmed-6559780 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT grimshawjm reinvigoratingstagnantscienceimplementationlaboratoriesandametalaboratorytoefficientlyadvancethescienceofauditandfeedback AT iversnoah reinvigoratingstagnantscienceimplementationlaboratoriesandametalaboratorytoefficientlyadvancethescienceofauditandfeedback AT linklaterstefanie reinvigoratingstagnantscienceimplementationlaboratoriesandametalaboratorytoefficientlyadvancethescienceofauditandfeedback AT foyrobbie reinvigoratingstagnantscienceimplementationlaboratoriesandametalaboratorytoefficientlyadvancethescienceofauditandfeedback AT francisjillj reinvigoratingstagnantscienceimplementationlaboratoriesandametalaboratorytoefficientlyadvancethescienceofauditandfeedback AT gudewoutert reinvigoratingstagnantscienceimplementationlaboratoriesandametalaboratorytoefficientlyadvancethescienceofauditandfeedback AT hysongsylviaj reinvigoratingstagnantscienceimplementationlaboratoriesandametalaboratorytoefficientlyadvancethescienceofauditandfeedback |