Using audit and feedback to increase clinician adherence to clinical practice guidelines in brain injury rehabilitation: A before and after study

dc.contributor.authorJolliffe, Lauraen_US
dc.contributor.authorMorarty, Jacquien_US
dc.contributor.authorHoffmann, Tammyen_US
dc.contributor.authorCrotty, Mariaen_US
dc.contributor.authorHunter, Peteren_US
dc.contributor.authorCameron, Ian Den_US
dc.contributor.authorLi, Xiaen_US
dc.contributor.authorLannin, Natasha Aen_US
dc.date.accessioned2019-05-03T07:54:25Z
dc.date.available2019-05-03T07:54:25Z
dc.date.issued2019-03-13
dc.descriptionCopyright: © 2019 Jolliffe et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_US
dc.description.abstractObjective This 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. Design A before and after study design. Setting A metropolitan inpatient brain injury rehabilitation unit. Participants Clinicians; medical, nursing and allied health staff. Interventions Fortnightly cycles of audit and feedback for 14 months. Each fortnight, medical file and observational audits were completed against 114 clinical indicators. Main outcome measure Adherence to guideline indicators before and after intervention, calculated by proportions, Mann-Whitney U and Chi square analysis. Results Clinical 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. Conclusion A 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.en_US
dc.identifier.citationJolliffe, L., Morarty, J., Hoffmann, T., Crotty, M., Hunter, P., Cameron, I. D., … Lannin, N. A. (2019). Using audit and feedback to increase clinician adherence to clinical practice guidelines in brain injury rehabilitation: A before and after study. PLOS ONE, 14(3), e0213525. https://doi.org/10.1371/journal.pone.0213525en_US
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0213525en_US
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/2328/39178
dc.language.isoenen_US
dc.oaire.license.condition.licenseCC-BY
dc.publisherPublic LIbrary of Scienceen_US
dc.relationhttp://purl.org/au-research/grants/nhmrc/1112158en_US
dc.relationhttp://purl.org/au-research/grants/nhmrc/1114522en_US
dc.relationhttp://purl.org/au-research/grants/nhmrc/1110493en_US
dc.relation.grantnumberNHMRC/1112158en_US
dc.relation.grantnumberNHMRC/1114522en_US
dc.relation.grantnumberNHMRC/1110493en_US
dc.rightsCopyright: © 2019 Jolliffe et al.en_US
dc.rights.holderJolliffe et al.en_US
dc.subjectbrain injuryen_US
dc.subjectrehabilitationen_US
dc.subjectacquired brain injuryen_US
dc.subjectguidelinesen_US
dc.subjectaudit and feedback cyclesen_US
dc.titleUsing audit and feedback to increase clinician adherence to clinical practice guidelines in brain injury rehabilitation: A before and after studyen_US
dc.typeArticleen_US
local.contributor.authorOrcidLookupJolliffe, Laura: http://orcid.org/0000-0002-1369-9442en_US
local.contributor.authorOrcidLookupCrotty, Maria: https://orcid.org/0000-0002-2996-5135en_US
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