Audit and feedback (A&F) is commonly used to improve health care; yet enormous variability exists in effectiveness and little is known about A&F in home health care. This article explores A&F as a strategy to support evidence-based care for falls prevention and pain management. We use interviews to describe how A&F is currently used and explore how it can support patient care. Thirteen interviews were conducted with a multidisciplinary sample and descriptively analyzed. Findings showed that data were audited by frontline staff but were inconsistently fed back to the front line, and the meaning of data depended on the context and participants’ roles. Findings suggest A&F should include indicators to benchmark patient outcomes, target actionable processes of care, and be tailored to provider groups.
FoyREcclesM. Audit and feedback interventions. In: StrausSTetroeJGrahamID, eds. Knowledge Translation in Health Care: Moving From Evidence to Practice. West Sussex, England: Blackwell Publishing; 2009:126-131.
2.
IversNJamtvedtGFlottorpS. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012;6:CD000259.
3.
BrehautJCEvaKW. Building theories of knowledge translation interventions: use the entire menu of constructs. Implement Sci. 2012;7:1-10.
4.
FoyREcclesMPJamtvedtGYoungJGrimshawJMBakerR. What do we know about how to do audit and feedback? pitfalls in applying evidence from a systematic review. BMC Health Serv Res. 2005;5:50.
5.
Public Health Agency of Canada. Seniors’ Falls in Canada Second Report. Ottawa, Ontario: Public Health Agency of Canada; 2014.
6.
ColquhounHLBrehautJCSalesA. A systematic review of the use of theory in randomized controlled trials of audit and feedback. Implement Sci. 2013;8:1-18.
7.
HysongSJ. Meta-analysis: audit and feedback features impact effectiveness on care quality. Med Care. 2009;47:356-362.
8.
HysongSBestRPughJ. Audit and feedback and clinical practice guideline adherence: making feedback actionable. Implement Sci. 2006;1:9.
9.
BradleyEHHolmboeESMatteraJARoumanisSARadfordMJKrumholzHM. Data feedback efforts in quality improvement: lessons learned from US hospitals. Qual Saf Health Care. 2004;13:26-31.
10.
GiffordWADaviesBTourangeauAELefebreN. Developing team leadership to facilitate guideline utilization: planning and evaluating a three month intervention strategy. J Nurs Manag. 2011;19:121-132.
11.
Canadian Home Care Association. Portraits of Home Care in Canada 2013. Mississauga, Ontario: Canadian Home Care Association; 2013.
12.
McWilliamCKothariALeipertB. Accelerating client driven care: pilot study for a social interaction approach to knowledge translation. Can J Nurs Res. 2008;40:58-74.
13.
ShawJSidhuKKearneyCKeeberMMcKayS. Engaging home health care providers in a fall prevention best practice initiative. Home Health Care Serv Q. 2013;32:1-16.
14.
Canadian Institute for Health Information. Series on Seniors. Seniors and Falls. Ottawa, Ontario: Canadian Institute for Health Information; 2010.
15.
SMARTRISK. The Economic Burden of Injury in Canada. Toronto, Ontario, Canada: SMARTRISK; 2009.
16.
GurejeOVon KorffMSimonGGaterR. Persistent pain and well-being: a World Health Organization study in primary care. JAMA. 1998;280:147-151.
17.
WatkinsEAWollanPCMeltonLJYawnBP. A population in pain: report from the Olmsted County health study. Pain Med. 2008;9:166-174.
18.
TsangAVonKorffMLeeS. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain. 2008;9:883-891.
19.
LynchM. The need for a Canadian pain strategy. Pain Res Manag. 2011;16:77-80.
20.
GraneheimUHLundmanB. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105-112.
21.
MilesMBHubermanAMSaldanaJ. Qualitative Data Analysis: A Methods Sourcebook. 3rd ed.Thousand Oaks, CA: Sage; 2014.
22.
SandelowskiM. Focus on research methods. Whatever happened to qualitative description?Res Nurs Health. 2000;23:334-340.
23.
GrahamIDLoganJHarrisonMB. Lost in knowledge translation: time for a map?J Contin Educ Health Prof. 2006;26:13-24.
24.
KlugerANDeNisiA. The effects of feedback interventions on performance: a historical review, a meta-analysis, and a preliminary feedback intervention theory. Psychol Bull. 1996;119:254-284.
25.
KlugerANDeNisiA. Feedback interventions: toward the understanding of a double-edged sword. Curr Dir Psychol Sci. 1998;7:67-72.
26.
SackettDLRichardsonWSRosenbergWHaynesRB. Evidence-Based Medicine: How to Practice and Teach EBM. Edinburgh, UK: Churchill Livingstone;1997.
27.
HolmesDPerronAO’ByrneP. Evidence, virulence, and the disappearance of nursing knowledge: a critique of the evidence-based dogma. Worldviews Evid Based Nurs. 2006;3:95-102.
28.
IrelandSKirkpatrickHBoblinSRobertsonK. The real world journey of implementing fall prevention best practices in three acute care hospitals: a case study. Worldviews Evid Based Nurs. 2013;10:95-103.
29.
OkechukwuIBennettKFeelyJ. General practitioners’ ranking of evidence-based prescribing quality indicators: a comparative study with a prescription database. Br J Clin Pharmacol. 2006;62:218-224.
30.
MartirosyanLMarkhorstJDenigPHaaijer-RuskampFBraspenningJ. A pilot qualitative study to explore stakeholder opinions regarding prescribing quality indicators. BMC Health Serv Res. 2012;12:1-12.
