ReviewJournal of epidemiology and community health1994
Evaluation of medical audit.
Review in Journal of epidemiology and community health, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Translating guidelines into practice. A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1997Pooled it
- Implementation of an audit with feedback knowledge translation intervention to promote medication error reporting in health care: a protocol.Implementation science : IS · 2015Trial
- [Design of a method for the evaluation of clinical competence in primary care].Atencion primaria · 2000Trial
- Piloting online self-audit of methadone treatment in Irish general practice: results, reflections and educational outcomes.BMC medical education · 2018Article
- Factors affecting physician performance: implications for performance improvement and governance.Healthcare policy = Politiques de sante · 2009Article
- Audit and feedback and clinical practice guideline adherence: making feedback actionable.Implementation science : IS · 2006Article
- Reviewing audit: barriers and facilitating factors for effective clinical audit.Quality in health care : QHC · 2000Review
- Development and evaluation of a quality assessment instrument for occupational physicians.Occupational and environmental medicine · 1998Article
- Implementing guidelines and innovations in general practice: which interventions are effective?The British journal of general practice : the journal of the Royal College of General Practitioners · 1998Review
- Medical audit in The Netherlands: experience over 22 years.Journal of epidemiology and community health · 1995Article
- Clinical audit: more research is required.Journal of epidemiology and community health · 1995Article
- Clinical audit: time for a reappraisal?Journal of the Royal College of Physicians of LondonReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo review current knowledge of the effectiveness of medical audit programmes as a whole and of specific interventions within these programmes, as a means of changing clinical behaviour. CRITERIA FOR INCLUSION AND EXCLUSION OF PUBLISHED REPORTS: Articles listed on Medline from 1985-92 with key words "quality assurance" or "medical audit", and "evaluation" and relevant references from these articles, and from recently published reviews and reports on medical audit, were included. Excluded were simple descriptions of audit activity, replications of previous work, and publication in a language other than English.
resultsEvaluation of entire programmes of medical audit is unusual. Most reports concern specific interventions and focus particularly on the scientific and technical aspects of quality. These interventions may be classified by the means through which they attempt to achieve desired changes: patient characteristics; physician characteristics; administrative and organisational structures; and financial incentives.
conclusionsKnowledge about effective methods of bringing about specific changes in clinical behaviour is rudimentary. Impact is highly dependent on local factors, so generalisation of results to other settings is difficult. More qualitative research is needed to define the local factors which influence results.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.