ArticleBMJ global health2017
Does audit and feedback improve the adoption of recommended practices? Evidence from a longitudinal observational study of an emerging clinical network in Kenya.
Article in BMJ global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Application of the Expert Recommendations for Implementing Change (ERIC) compilation of strategies to health intervention implementation in low- and middle-income countries: a systematic review.Implementation science : IS · 2023Pooled it
- Pairwise joint modeling of clustered and high-dimensional outcomes with covariate missingness in pediatric pneumonia care.Pharmaceutical statistics · 2022Trial
- Effect of enhancing audit and feedback on uptake of childhood pneumonia treatment policy in hospitals that are part of a clinical network: a cluster randomized trial.Implementation science : IS · 2019Trial
- Experiences of and response to the COVID-19 pandemic at private retail pharmacies in Kenya: a mixed-methods study.BMJ open · 2022Article
- Evaluation of an audit and feedback intervention to reduce gentamicin prescription errors in newborn treatment (ReGENT) in neonatal inpatient care in Kenya: a controlled interrupted time series study protocol.Implementation science : IS · 2022Article
- Pentavalent vaccination in Kenya: coverage and geographical accessibility to health facilities using data from a community demographic and health surveillance system in Kilifi County.BMC public health · 2022Article
- Improving in-patient neonatal data quality as a pre-requisite for monitoring and improving quality of care at scale: A multisite retrospective cohort study in Kenya.PLOS global public health · 2022Article
- Pulse oximetry adoption and oxygen orders at paediatric admission over 7 years in Kenya: a multihospital retrospective cohort study.BMJ open · 2021Article
- Digital ≠ paperless: novel interfaces needed to address global health challenges.BMJ global health · 2021Article
- Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya.BMJ global health · 2021Review
- Collective sensemaking for action: researchers and decision makers working collaboratively to strengthen health systems.BMJ (Clinical research ed.) · 2021Article
- Health systems readiness and quality of inpatient malaria case-management in Kano State, Nigeria.Malaria journal · 2020Article
- Handling missing data in modelling quality of clinician-prescribed routine care: Sensitivity analysis of departure from missing at random assumption.Statistical methods in medical research · 2020Article
- Implementing change for facility-based peripartum care in low-income and middle-income countries.The Lancet. Global health · 2020Article
- The age-specific incidence of hospitalized paediatric malaria in Uganda.BMC infectious diseases · 2020Article
- Examining which clinicians provide admission hospital care in a high mortality setting and their adherence to guidelines: an observational study in 13 hospitals.Archives of disease in childhood · 2020Observational
- Programme theory and linked intervention strategy for large-scale change to improve hospital care in a low and middle-income country - A Study Pre-Protocol.Wellcome open research · 2020Article
- Data for tracking SDGs: challenges in capturing neonatal data from hospitals in Kenya.BMJ global health · 2020Review
- Variability in the use of pulse oximeters with children in Kenyan hospitals: A mixed-methods analysis.PLoS medicine · 2019Article
- Using rubber stamps and mobile phones to help understand and change antibiotic prescribing behaviour in private sector primary healthcare clinics in Kenya.BMJ global health · 2019Article
Corrections and comments
- Erratum issuedCorrection: Does audit and feedback improve the adoption of recommended practices? Evidence from a longitudinal observational study of an emerging clinical network in Kenya.2017 · Oliwa, Jacqiue [corrected to Oliwa, Jacquie]
Authors and funding
16 authors.
Funding
Abstract
Background: Audit and feedback (A&F) is widely used in healthcare but there are few examples of how to deploy it at scale in low-income countries. Establishing the Clinical Information Network (CIN) in Kenya provided an opportunity to examine the effect of A&F delivered as part of a wider set of activities to promote paediatric guideline adherence. Methods: We analysed data collected from medical records on discharge for children aged 2-59 months from 14 Kenyan hospitals in the CIN. Hospitals joined CIN in phases and for each we analysed their initial 25 months of participation that occurred between December 2013 and March 2016. A total of 34 indicators of adherence to recommendations were selected for evaluation each classified by form of feedback (passive, active and none) and type of task (simple or difficult documentation and those requiring cognitive work). Performance change was explored graphically and using generalised linear mixed models with attention given to the effects of time and use of a standardised paediatric admission record (PAR) form. Results: Data from 60 214 admissions were eligible for analysis. Adherence to recommendations across hospitals significantly improved for 24/34 indicators. Improvements were not obviously related to nature of feedback, may be related to task type and were related to PAR use in the case of documentation indicators. There was, however, marked variability in adoption and adherence to recommended practices across sites and indicators. Hospital-specific factors, low baseline performance and specific contextual changes appeared to influence the magnitude of change in specific cases. Conclusion: Our observational data suggest some change in multiple indicators of adherence to recommendations (aspects of quality of care) can be achieved in low-resource hospitals using A&F and simple job aides in the context of a wider network approach.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.