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



Status:Recruiting
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:February 2016
End Date:November 2016
Contact:James D Harrison, MPH PhD
Email:james.harrison@ucsf.edu
Phone:4155775430

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

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.

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.

Inclusion Criteria:

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

Exclusion Criteria:
We found this trial at
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San Francisco, California 94143
Phone: 415-502-2008
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