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Randomized Controlled Trial
. 2015 Nov 5:2015:2101-10.
eCollection 2015.

Improving guideline concordance in multidisciplinary teams: preliminary results of a cluster-randomized trial evaluating the effect of a web-based audit and feedback intervention with outreach visits

Mariëtte M van Engen-Verheul  1 , Wouter T Gude  1 , Sabine N van der Veer  2 , Hareld M C Kemps  3 , Monique M W Jaspers  1 , Nicolette F de Keizer  1 , Niels Peek  4
Affiliations
Randomized Controlled Trial

Improving guideline concordance in multidisciplinary teams: preliminary results of a cluster-randomized trial evaluating the effect of a web-based audit and feedback intervention with outreach visits

Mariëtte M van Engen-Verheul et al. AMIA Annu Symp Proc. .

Abstract

Despite their widespread use, audit and feedback (A&F) interventions show variable effectiveness on improving professional performance. Based on known facilitators of successful A&F interventions, we developed a web-based A&F intervention with indicator-based performance feedback, benchmark information, action planning and outreach visits. The goal of the intervention was to engage with multidisciplinary teams to overcome barriers to guideline concordance and to improve overall team performance in the field of cardiac rehabilitation (CR). To assess its effectiveness we conducted a cluster-randomized trial in 18 CR clinics (14,847 patients) already working with computerized decision support (CDS). Our preliminary results showed no increase in concordance with guideline recommendations regarding prescription of CR therapies. Future analyses will investigate whether our intervention did improve team performance on other quality indicators.

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Figures

Figure 1.
Figure 1.
Flow diagram of CR clinics through the trial.
See this image and copyright information in PMC

References

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