Evidence map›Paper›PMID 30064509›Full record

ArticleImplementation science : IS2018

How do physicians behave when they participate in audit and feedback activities in a group with their peers?

Lara J Cooke, Diane Duncan, Laura Rivera, Shawn K Dowling, Christopher Symonds, Heather Armson

Abstract read
In one paragraph

Article in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lara J CookeDepartment of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, UCMC Area 3, 3350 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada. lcooke@ucalgary.ca.ORCID 0000-0001-5417-571X
Diane DuncanCumming School of Medicine, University of Calgary, HSC G302, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada.
Laura RiveraCumming School of Medicine, University of Calgary, HSC G302, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada.
Shawn K DowlingCumming School of Medicine, University of Calgary, HSC G302, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada.
Christopher SymondsDivision of Endocrinology and Metabolism, Cumming School of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada.
Heather ArmsonDepartment of Family Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAudit and feedback interventions may be strengthened using social interaction. With this in mind, the Calgary office of the Alberta Physician Learning Program developed a process for audit and group feedback for physician groups. As a part of a larger project to develop a practical approach to the design and implementation of audit and group feedback projects, we explored patterns of physician behavior during facilitated audit and group feedback sessions.

methodsSix audit and group feedback sessions were recorded, transcribed, and analyzed thematically to derive a conceptual model of physicians' behaviors during audit and group feedback sessions.

resultsA predictable cycle of behaviors emerged from audit and group feedback sessions. This cycle would repeat with discussion of each new data element: reacting to the data, questioning and understanding the data, justifying and contextualizing, sharing and reflecting on the data and relevant guidelines, and planning for change. "Change cues" that emerged within groups reliably pivoted the discussion towards action planning.

conclusionsIn audit and group feedback sessions, physicians display a predictable series of behaviors as they move towards commitment to change. Establishing the meaning and credibility of the data is a necessary precursor to reflection. Group reflection leads to "change cues" triggered by group members, which stimulate action planning.

Indexed as

FeedbackAlbertaHumansMaleMedical AuditPeer Review, Health CarePhysiciansAudit and feedbackFeedbackImplementationKnowledge translationPhysician learningPractice improvementProfessional developmentSocial learning theory

Identifiers

PMID30064509
PMCPMC6069557

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.