Effect of audit and feedback on physicians' intraoperative temperature management and patient outcomes: a three-arm cluster randomized-controlled trial comparing benchmarked and ranked feedback

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Sylvain BoetCanadian Perioperative Anesthesia Clinical Trials Group

Abstract

Audit and feedback can improve physicians' practice; however, the most effective type of feedback is unknown. Inadvertent perioperative hypothermia is associated with postoperative complications and remains common despite the use of effective and safe warming devices. This study aimed to measure the impact of targeted audit and feedback on anesthesiologists' intraoperative temperature management and subsequent patient outcomes. This study was a three-arm cluster randomized-controlled trial. Anesthesiologists' intraoperative temperature management performance was analyzed in two phases. The first was a baseline phase with audit but no feedback for eight months, followed by an intervention phase over the next seven-month period after participants had received interventions according to their randomized group allocation of no feedback (control), benchmarked feedback, or ranked feedback. Anesthesiologists' percentage of hypothermic patients at the end of surgery (primary endpoint) and use of a warming device were compared among the groups. Forty-five attending anesthesiologists who took care of 7,846 patients over 15 months were included. The odds of hypothermia (temperature < 36°C at the end of surgery) increased significantly fro...Continue Reading

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Dec 16, 2017·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Gregory DobsonBarton Thiessen

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Citations

Jan 25, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Christopher L PysykSylvain Boet
Aug 24, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Simon Whyte
Sep 18, 2020·European Journal of Anaesthesiology·Alexander J C MittnachtDavid Wax

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