Practice Feedback Interventions: 15 Suggestions for Optimizing Effectiveness

Practice Feedback Interventions: 15 Suggestions for Optimizing Effectiveness
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DOI:
10.7326/m15-2248
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发表时间:
2016-03-15
影响因子:
39.2
通讯作者:
Grimshaw, Jeremy M.
Grimshaw, Jeremy M.
中科院分区:
医学1区
文献类型:
--
作者:
Brehaut, Jamie C.;Colquhoun, Heather L.;Grimshaw, Jeremy M.

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电子实践数据正越来越多地用于提供反馈,以鼓励实践改进。然而,有证据表明,尽管有几十年的经验,这些干预措施的效果差别很大,而且没有随着时间的推移而改善。关于提供更有效反馈的指导确实存在,但它分布在广泛的学科和理论观点中,通过专家访谈,系统回顾,以及提供,评估和接受实践反馈的经验,已经确定了15条被认为与有效反馈干预相关的建议。这些建议旨在为质量改进专业人员、信息技术开发人员、教育工作者、管理人员和接受此类干预的从业人员提供实用指导。在设计干预措施时考虑到这些建议应该会提高其效果,研究这些建议背后的机制将推动停滞不前的文献。
Electronic practice data are increasingly being used to provide feedback to encourage practice improvement. However, evidence suggests that despite decades of experience, the effects of such interventions vary greatly and are not improving over time. Guidance on providing more effective feedback does exist, but it is distributed across a wide range of disciplines and theoretical perspectives.Through expert interviews; systematic reviews; and experience with providing, evaluating, and receiving practice feedback, 15 suggestions that are believed to be associated with effective feedback interventions have been identified. These suggestions are intended to provide practical guidance to quality improvement professionals, information technology developers, educators, administrators, and practitioners who receive such interventions. Designing interventions with these suggestions in mind should improve their effect, and studying the mechanisms underlying these suggestions will advance a stagnant literature.