Audit and feedback: examining the effectiveness of practice-based learning.

摘要

Management of medications is fundamental to health care and nursing; medication administration is used as an index of nursing care quality. Despite this, errors are common and the topic is a popular focus for quality improvement.Internationally, quality improvement and practice development are features of contemporary health care. Reports usually focus on outcomes; seldom is much detail supplied of processes required to achieve these outcomes, rarer still are reports of strategies found to be ineffective. This is perverse given the importance of understanding systems and processes in order to plan change (Wensing et al. 2010). Audit of care processes and feedback of findings to those whose practice was audited is a common practice development strategy, attributed small (around 5%) but clinically significant clinician behaviour change (Jamtvedt et al. 2006). This is in line with results (<10%) from other common techniques (Wensing et al. 2010).