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首页> 外文期刊>BMJ quality & safety >Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
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Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback

机译：重振停滞科学：实施实验室和元实验室，有效地推进审计科学和反馈

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摘要

Audit and feedback (A&F) is a commonly used quality improvement (QI) approach. A Cochrane review indicates that A&F is generally effective and leads to modest improvements in professional practice but with considerable variation in the observed effects. While we have some understanding of factors that enhance the effects of A&F, further research needs to explore when A&F is most likely to be effective and how to optimise it. To do this, we need to move away from two-arm trials of A&F compared with control in favour of head-to-head trials of different ways of providing A&F. This paper describes implementation laboratories involving collaborations between healthcare organisations providing A&F at scale, and researchers, to embed head-to-head trials into routine QI programmes. This can improve effectiveness while producing generalisable knowledge about how to optimise A&F. We also describe an international meta-laboratory that aims to maximise cross-laboratory learning and facilitate coordination of A&F research.
机译：审计和反馈（A＆F）是一种常用的质量改进（QI）方法。 Cochrane Review表示A＆F一般有效，导致专业实践的适度改进，但在观察到的效果方面具有相当大的变化。虽然我们对增强A＆F的影响的因素有一些理解，但是当A＆F最有可能有效并且如何优化它时，进一步的研究需要探索。为此，我们需要远离A＆F的双臂试验，与控制有利于提供A＆F的不同方式的头脑审判。本文介绍了涉及在规模和研究人员提供A＆F的医疗组织之间合作的实施实验室，将前往头试验融入日常QI计划。这可以提高有效性，同时产生关于如何优化A＆F的常规知识。我们还描述了一个国际元实验室，旨在最大限度地提高跨实验室学习和促进A＆F研究的协调。

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