The Effect of a Novel Audit and Feedback Bundle on Inpatient Performance

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2017-05-31

Brief Summary

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This single-blinded, cluster randomized control trial will assess the effectiveness of an audit and feedback bundle on internal medicine physician performance on selected quality metrics. The feedback bundle includes an electronic dashboard and weekly feedback rounds in which physicians will review their performance. The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance.

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Detailed Description

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This is a single-blinded, cluster randomized control trial of 48 internal medicine teams (24 teams will be randomized to the intervention arm and and 24 teams randomized to control arm) on inpatient medicine wards. Each team consists of at least 4 members (attending physician, senior resident, two interns). The intervention arm teams will receive the new audit and feedback bundle, which includes access to the electronic dashboard and weekly feedback rounds in which they review their performance on several inpatient quality metrics via the electronic dashboard. The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance on selected quality measures. This primary aim of the trial will be to compare the effectiveness of performance feedback on inpatient quality metrics specifically high quality after visit summary, medical reconciliation and discharge summary timeliness. Other group comparisons will include other inpatient quality metrics and satisfaction with feedback.

Conditions

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Quality Improvement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Investigators

Study Groups

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Intervention Audit and Feedback Bundle

Access to the electronic dashboard and weekly feedback rounds

Group Type EXPERIMENTAL

Audit and Feedback Bundle

Intervention Type OTHER

The intervention arm teams will receive the new audit and feedback bundle, which includes access to the electronic dashboard and weekly feedback rounds in which they review their performance on several inpatient quality metrics via the dashboard.

Bi-weekly audit and feedback emails

Access to biweekly feedback emails with performance on selected quality measures (current practice).

Group Type ACTIVE_COMPARATOR

Bi-weekly audit and feedback emails

Intervention Type OTHER

The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance on selected quality measures.

Interventions

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Audit and Feedback Bundle

The intervention arm teams will receive the new audit and feedback bundle, which includes access to the electronic dashboard and weekly feedback rounds in which they review their performance on several inpatient quality metrics via the dashboard.

Intervention Type OTHER

Bi-weekly audit and feedback emails

The control arm will undergo audit and feedback per the current system, which is biweekly feedback emails with performance on selected quality measures.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All physicians that rotate through internal medicine wards during the study period (teaching attending physicians and internal medicine residents and interns)