NCT02593253

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

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

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 200 (actual)
• Sponsor: University of California, San Francisco · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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.

Detailed description

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

• Quality Improvement

Interventions

Type	Name	Description
OTHER	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.
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.

Timeline

• Start date: 2016-02-01
• Primary completion: 2016-12-01
• Completion: 2017-05-01
• First posted: 2015-11-02
• Last updated: 2017-05-09

Locations

1 site across 1 country: United States