ArticlePloS one2019
Using audit and feedback to increase clinician adherence to clinical practice guidelines in brain injury rehabilitation: A before and after study.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Article
- 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
- Implementation of best practice goal-setting in five rehabilitation services: A mixed-methods evaluation study.Journal of rehabilitation medicine · 2023Article
- Improving Knowledge of Audit and Feedback among Health Care Professionals in Sicily.Healthcare (Basel, Switzerland) · 2023Article
- Understanding the multilevel determinants of clinicians' imaging decision-making: setting the stage for de-implementation of low-value imaging.BMC health services research · 2022Article
- Trends in guideline implementation: an updated scoping review.Implementation science : IS · 2022Article
- Quality Improvement in Stroke Rehabilitation: A Scoping Review.Journal of multidisciplinary healthcare · 2022Article
- Audit and feedback in cardio- and cerebrovascular setting: Toward a path of high reliability in Italian healthcare.Frontiers in public health · 2022Article
- Outer-context determinants in the sustainment phase of a reimbursement-driven implementation of evidence-based practices in children's mental health services.Implementation science : IS · 2021Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study evaluated whether frequent (fortnightly) audit and feedback cycles over a sustained period of time (>12 months) increased clinician adherence to recommended guidelines in acquired brain injury rehabilitation.
designA before and after study design.
settingA metropolitan inpatient brain injury rehabilitation unit.
participantsClinicians; medical, nursing and allied health staff.
interventionsFortnightly cycles of audit and feedback for 14 months. Each fortnight, medical file and observational audits were completed against 114 clinical indicators.
main outcome measureAdherence to guideline indicators before and after intervention, calculated by proportions, Mann-Whitney U and Chi square analysis.
resultsClinical and statistical significant improvements in median clinical indicator adherence were found immediately following the audit and feedback program from 38.8% (95% CI 34.3 to 44.4) to 83.6% (95% CI 81.8 to 88.5). Three months after cessation of the intervention, median adherence had decreased from 82.3% to 76.6% (95% CI 72.7 to 83.3, p<0.01). Findings suggest that there are individual indicators which are more amenable to change using an audit and feedback program.
conclusionA fortnightly audit and feedback program increased clinicians' adherence to guideline recommendations in an inpatient acquired brain injury rehabilitation setting. We propose future studies build on the evidence-based method used in the present study to determine effectiveness and develop an implementation toolkit for scale-up.
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