Audit and feedback: effects on professional practice and health care outcomes

The Cochrane Database of Systematic Reviews
G JamtvedtA D Oxman

Abstract

Audit and feedback continues to be widely used as a strategy to improve professional practice. It appears logical that healthcare professionals would be prompted to modify their practice if given feedback that their clinical practice was inconsistent with that of their peers or accepted guidelines. Yet, audit and feedback has not consistently been found to be effective. To assess the effects of audit and feedback on the practice of healthcare professionals and patient outcomes. We searched the Cochrane Effective Practice and Organisation of Care Group's register and pending file up to January 2004. Randomised trials of audit and feedback (defined as any summary of clinical performance over a specified period of time) that reported objectively measured professional practice in a healthcare setting or healthcare outcomes. Two reviewers independently extracted data and assessed study quality. Quantitative (meta-regression), visual and qualitative analyses were undertaken. For each comparison we calculated the risk difference (RD) and risk ratio (RR), adjusted for baseline compliance when possible, for dichotomous outcomes and the percentage and the percent change relative to the control group average after the intervention, adjust...Continue Reading

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