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首页> 外文会议>MEDINFO >Inside the Black Box of Audit and Feedback: a Laboratory Study to Explore Determinants of Improvement Target Selection by Healthcare Professionals in Cardiac Rehabilitation
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Inside the Black Box of Audit and Feedback: a Laboratory Study to Explore Determinants of Improvement Target Selection by Healthcare Professionals in Cardiac Rehabilitation

机译：在审计和反馈的黑匣子内：一个实验室研究，探讨了医疗保健专业人员在心脏康复中的改进目标选择的决定因素

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Audit and feedback (A&F) is widely used to aid healthcare professionals in improving clinical performance, but there is little understanding of the underlying mechanism that determines its effectiveness. The aim of this paper is to investigate the process by which healthcare professionals select indicators as improvement targets based on A&F. We performed a laboratory study among 41 healthcare professionals in the context of a web-based A&F intervention designed to improve the quality of cardiac rehabilitation care in the Netherlands. Feedback was provided on eighteen quality indicators, including a score and a colour (representing a recommendation for selection (red and yellow) or non-selection (green)). Indicators with more room for improvement were more likely to be selected, although this varied substantially between participants. In more than a quarter of the cases, participants did not select indicators with obvious room for improvement (yellow or red colour), or selected indicators without apparent room for improvement (green colour). We conclude that personal preferences and beliefs concerning quality and performance targets may dilute the efficiency of A&F.
机译：审计和反馈（A＆F）被广泛用于帮助医疗保健专业人员提高临床表现，但几乎没有了解确定其有效性的潜在机制。本文的目的是调查医疗保健专业人员选择指标作为基于A＆F的改进目标的过程。我们在基于网络的A＆F干预的背景下进行了41个医疗保健专业人员的实验室研究，旨在提高荷兰的心脏康复护理质量。反馈提供在十八个质量指标上，包括分数和颜色（代表选择（红色和黄色）或非选择（绿色）的建议）。更有可能选择具有更多改进空间的指标，尽管参与者之间的变化很大。在超过四分之一的案件中，参与者没有选择有明显的改善空间（黄色或红颜色）的指标，或没有明显改善房间的选定指标（绿色）。我们得出结论，有关质量和性能目标的个人偏好和信念可能会削弱A＆F的效率。

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