Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback. Issue 5 (9th March 2019)

• Record Type: Journal Article
• Authors: Grimshaw, JM; Ivers, Noah; Linklater, Stefanie; Foy, Robbie; Francis, Jill J; Gude, Wouter T; Hysong, Sylvia J
• Other Names: author non-byline.; Alderson Sarah author non-byline.; Boet Sylvain author non-byline.; Brehaut Jamie author non-byline.; Brown Benjamin author non-byline.; Clarkson Jan author non-byline.; Colquhoun Heather author non-byline.; Keizer Nicolette de author non-byline.; Desveaux Laura author non-byline.; Dobell Gail author non-byline.; Dunn Sandra author non-byline.; Farrin Amanda author non-byline.; Foy Robbie C author non-byline.; Francis Jill J author non-byline.; Greenberg Anna author non-byline.; Grimshaw Jeremy M author non-byline.; Gude Wouter T author non-byline.; Hartley Suzanne author non-byline.; Horsley Tanya author non-byline.; Hysong Sylvia J author non-byline.; Ivers Noah M author non-byline.; Landis-Lewis Zach author non-byline.; Linklater Stefanie author non-byline.; London Jane author non-byline.; Lorencatto Fabiana author non-byline.; Michie Susan author non-byline.; O'Connor Denise author non-byline.; Peek Niels author non-byline.; Presseau Justin author non-byline.; Ramsay Craig author non-byline.; Sales Anne E author non-byline.; Sprague Ann author non-byline.; Stanworth Simon author non-byline.; Sykes Michael author non-byline.; Taljaard Monica author non-byline.; Thavorn Kednapa author non-byline.; Walker Mark author non-byline.; Walwyn Rebecaa author non-byline.; Weiss Debra author non-byline.; Willis Thomas A author non-byline.; Witteman Holly author non-byline.;
• Is Part Of: BMJ quality & safety. Volume 28:Issue 5(2019)
• Page Start: 416
• Page End: 423
• Publication Date: 2019-03-09
• Subjects: audit and feedback -- implementation science -- quality improvement -- randomised controlled trial; Medical care -- Quality control -- Periodicals; Health facilities -- Risk management -- Periodicals; Medical errors -- Prevention -- Periodicals; 362.106805
• DOI: 10.1136/bmjqs-2018-008355
• Languages: English
• ISSNs: 2044-5415

Abstract

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.