scholarly journals Interface design recommendations for computerised clinical audit and feedback: Hybrid usability evidence from a research-led system

2016 ◽  
Vol 94 ◽  
pp. 191-206 ◽  
Author(s):  
Benjamin Brown ◽  
Panos Balatsoukas ◽  
Richard Williams ◽  
Matthew Sperrin ◽  
Iain Buchan
Keyword(s):  
Interface Design ◽  
Clinical Audit ◽  
Audit And Feedback ◽  
Design Recommendations

scholarly journals Audit of psychiatric discharge summaries: completing the cycle

2004 ◽  
Vol 28 (9) ◽  
pp. 329-331 ◽  
Author(s):  
Isabelle Crossan ◽  
David Curtis ◽  
Yong-Lok Ong
Keyword(s):  
Clinical Practice ◽  
Clinical Audit ◽  
Audit And Feedback ◽  
Clinical Implications ◽  
Considerable Variability ◽  
Clinical Tool ◽  
Barriers To Change ◽  
Adult Psychiatry ◽  
Psychiatric Department ◽  
Discharge Summaries

Aims and MethodTo examine and attempt to improve the recording of information within psychiatric discharge summaries in an adult psychiatry department, by means of audit and feedback. Psychiatric discharge summaries from an acute adult psychiatric department were examined to determine the recording of ten selected items. Following feedback and discussion, the audit was repeated after 6 months.ResultsFifty-one discharge summaries were examined on the first occasion and 53 on the second. There was considerable variability in the standard of recording across the selected items, but the patterns of recording were similar at both stages. No improvement was found in the recording of information at the second audit.Clinical ImplicationsAudit and feedback alone may have little effect in changing clinical practice. This study examines the experience of undertaking clinical audit from a trainee's perspective, illustrates barriers to change and highlights the possible limitations of audit as a clinical tool.

scholarly journals Repeated analyses of national clinical audit reports demonstrate improvements in feedback methods

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Tasneem Khan ◽  
Sarah Alderson ◽  
Jill J. Francis ◽  
Fabiana Lorencatto ◽  
John Grant-Casey ◽  
...  
Keyword(s):  
Clinical Audit ◽  
Good Practice ◽  
Time Lag ◽  
Quality Of Healthcare ◽  
Performance Data ◽  
Audit And Feedback ◽  
Local Data ◽  
Cross Sectional ◽  
The Impact

Abstract Background There is growing interest in the impact of national clinical audit programmes on the quality of healthcare. There is also an evolving evidence-base for enhancing the design and delivery of audit and feedback. We assessed the extent to which a sample of UK national clinical audit feedback reports met a set of good practice criteria over three time points. Methods We undertook three cross-sectional content analyses. We developed good practice criteria for the content and delivery of feedback based upon evidence, behavioural theory and expert opinion. We applied these to a feedback reports from 23 national audits listed on the Healthcare Quality Improvement Partnership (HQIP) website in November 2015. We repeated our assessments in January 2017 for 20 repeat feedback reports, after HQIP had published reporting guidance for national audits, and in August 2019 for a further 14 repeat feedback reports. We verified our assessments, where possible, with audit leads. Results Feedback reports consistently included strengths at baseline, including past or planned repeated audit cycles (21; 91%), stating the importance of the topic in relation to patient care (22; 93%), using multi-modal data presentation (23; 100%), and summarising key findings (23; 100%). We observed improvements over subsequent assessments, so that by 2019, at least 13 out of 14 (93%) feedback reports presented easily identifiable key findings and recommendations, linked recommendations to audit standards, and proposed easily identifiable action plans. Whilst the use of regional comparators did not improve, audit leads highlighted that programmes now provide local data via additional means. The main shortcoming was the time lag between data collection and feedback; none of the 14 reports assessed in 2019 presented performance data less than 6 months old. Audit leads highlighted that some of these data might be available via programme websites. Conclusion We identified increased adherence to good practice in feedback by national clinical audit programmes that may enhance their impact on service delivery and outcomes. There is scope for improvement, especially in the recency of performance data. With further refinements, a criterion-based assessment offers an efficient means of monitoring the quality of national clinical audit feedback reports.

scholarly journals Computer-supported feedback message tailoring: theory-informed adaptation of clinical audit and feedback for learning and behavior change

2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Zach Landis-Lewis ◽  
Jamie C Brehaut ◽  
Harry Hochheiser ◽  
Gerald P Douglas ◽  
Rebecca S Jacobson
Keyword(s):  
Behavior Change ◽  
Clinical Audit ◽  
Audit And Feedback ◽  
Message Tailoring ◽  
Feedback Message ◽  
And Behavior

scholarly journals Embedded trials within national clinical audit programmes: A qualitative interview study of enablers and barriers

2021 ◽  
pp. 135581962110443
Author(s):  
Sarah Alderson ◽  
Tom A Willis ◽  
Su Wood ◽  
Fabiana Lorencatto ◽  
Jill Francis ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Audit Quality ◽  
Clinical Performance ◽  
Clinical Audit ◽  
Care Delivery ◽  
Audit And Feedback ◽  
Structured Interviews ◽  
Address Data ◽  
Qualitative Interview Study

Background Audit and feedback entails systematic documentation of clinical performance based on explicit criteria or standards which is then fed back to professionals in a structured manner. There are potential significant returns on investment from partnerships between existing clinical audit programmes in coordinated programmes of research to test ways of improving the effect of their feedback to drive greater improvements in health care delivery and population outcomes. We explored barriers to and enablers of embedding audit and feedback trials within clinical audit programmes. Methods We purposively recruited participants with varied experience in embedded trials in audit programmes. We conducted qualitative semi-structured interviews, guided by behavioural theory, with researchers, clinical audit programme staff and health care professionals. Recorded interviews were transcribed, and data coded and thematically analysed. Results We interviewed 31 participants (9 feedback researchers, 14 audit staff and 8 healthcare professionals, many having dual roles). We identified barriers and enablers for all 14 theoretical domains but no relationship between domains and participant role. We identified four optimal conditions for sustainable collaboration from the perspectives of stakeholders: resources, that is, recognition that audit programmes need to create capacity to participate in research, and research must be adapted to fit within each programme’s constraints; logistics, namely, that partnerships need to address data sharing and audit quality, while securing research funding to ensure operational success; leadership, that is, enthusiastic and engaged audit programme leaders must motivate their team and engage local stakeholders; and relationships, meaning that trust between researchers and audit programmes must be established over time by identifying shared priorities and meeting each partner’s needs. Conclusion Successfully embedding research within clinical audit programmes is likely to require compromise, logistical expertise, leadership and trusting relationships to overcome perceived risks and fully realise benefits.

Interface Design

2002 ◽  
Vol 11 (2) ◽  
pp. 8-11
Author(s):  
Kevin Caves ◽  
Frank DeRuyter ◽  
David R. Beukelman
Keyword(s):  
Interface Design
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