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

University of California San Francisco (UCSF)

Status: Completed

Conditions: Quality Improvement

Treatments: Other: Audit and Feedback Bundle; Other: Bi-weekly audit and feedback emails

Study type: Interventional

Funder types: Other

Identifiers

NCT02593253

15-17709

Details and patient eligibility

About

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.

Full 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.

Enrollment: 200 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

• None

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

200 participants in 2 patient groups

Intervention Audit and Feedback Bundle

Experimental group

Description:

Access to the electronic dashboard and weekly feedback rounds

Treatment:

Other: Audit and Feedback Bundle

Bi-weekly audit and feedback emails

Active Comparator group

Description:

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

Treatment:

Other: Bi-weekly audit and feedback emails