ArticleBMJ open quality2017
Use of audit, feedback and education increased guideline implementation in a multidisciplinary stroke unit.
Article in BMJ open quality, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses 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
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Implementation interventions to promote the uptake of evidence-based practices in stroke rehabilitation.The Cochrane database of systematic reviews · 2020Pooled it
- Experience of living with knee osteoarthritis: a systematic review of qualitative studies.BMJ open · 2019Pooled it
- Inspiratory muscle training for people with spinal cord injury: An implementation study.Clinical rehabilitation · 2026Article
- Using the Theoretical Domains Framework to identify strategies to support the implementation of the guidelines for the physiotherapy management of people with spinal cord injury: a qualitative study.Spinal cord series and cases · 2025Article
- Audit and feedback is an effective implementation strategy to increase fidelity to a multi-component labor induction protocol designed to reduce obstetric inequities.Implementation science communications · 2025Article
- Sustainable implementation efforts in physio- and occupational therapy: a scoping review.Implementation science communications · 2024Article
- Implementation Strategies for Quality Improvement in Palliative Care: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Translating evidence into practice in primary care management of adolescents and women with polycystic ovary syndrome: a mixed-methods study.Family practice · 2024Article
- Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke.Healthcare (Basel, Switzerland) · 2023Article
- Improving Knowledge of Audit and Feedback among Health Care Professionals in Sicily.Healthcare (Basel, Switzerland) · 2023Article
- Use of the knowledge to action model improved physical therapist adherence to a common clinical practice guideline across multiple settings: a multisite case series.BMC health services research · 2022Article
- Audit and feedback in cardio- and cerebrovascular setting: Toward a path of high reliability in Italian healthcare.Frontiers in public health · 2022Article
- Quality Improvement in Stroke Rehabilitation: A Scoping Review.Journal of multidisciplinary healthcare · 2022Article
- Implementation strategies and outcomes for occupational therapy in adult stroke rehabilitation: a scoping review.Implementation science : IS · 2021Article
- Daily weekday audit and feedback to clinicians for an inpatient intervention in obstetrics: is there sustained impact over the weekend? A secondary analysis of a prospective cohort study.Implementation science communications · 2021Article
- Reducing neuroimaging in first-episode psychosis by facilitating uptake of choosing wisely recommendations: a quality improvement initiative.BMJ open quality · 2021Article
- Plasma HbA1c in the investigation of suspected heart failure in general practice: An audit of the 2018 NICE guidelines update.Journal of family medicine and primary care · 2020Article
- Article
- Reducing waste: a guidelines-based approach to reducing inappropriate vitamin D and TSH testing in the inpatient rehabilitation setting.BMJ open quality · 2019Article
- Optimizing Time to Antibiotic Administration in Children with Possible Febrile Neutropenia through Quality Improvement Methodologies.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe audit-feedback cycle is a behaviour change intervention used to reduce evidence-practice gaps. In this study, repeat audits, feedback, education and training were used to change practice and increase compliance with Australian guideline recommendations for stroke rehabilitation.
objectiveTo increase the proportion of patients with stroke receiving best practice screening, assessment and treatment.
methodsA before-and-after study design was used. Data were collected from medical records (n=15 files per audit). Four audits were conducted between 2009 and 2013. Consecutive files of patients with stroke admitted to the stroke unit were selected and audited retrospectively. Staff behaviour change interventions included four cycles of audit feedback, and education to assist staff with change. The primary outcome measure was the proportion of eligible patients receiving best practice against target behaviours, based on audit data.
resultsBetween the first and fourth audit (2009 and 2013), 20 of the 27 areas targeted (74%) met or exceeded the minimum target of 10% change. Practice areas that showed the most change included sensation screening (+75%) and rehabilitation (+100%); neglect screening (+92%) and assessment (100%). Some target behaviours showed a drop in compliance such as anxiety and depression screening (-27%) or little or no overall improvement such as patient education about stroke (6% change).
conclusionsAudit feedback and education increased the proportion of inpatients with stroke receiving best practice rehabilitation in some, but not all practice areas. An ongoing process of quality improvement is needed to help sustain these improvements.
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