Ann Intern Med. 2016 Mar 15;164(6):435-41. doi: 10.7326/M15-2248. Epub 2016 Feb 23.
Electronic practice data are increasingly being used to provide feedback to encourage practice improvement. However, evidence suggests that despite decades of experience, the effects of such interventions vary greatly and are not improving over time. Guidance on providing more effective feedback does exist, but it is distributed across a wide range of disciplines and theoretical perspectives. Through expert interviews; systematic reviews; and experience with providing, evaluating, and receiving practice feedback, 15 suggestions that are believed to be associated with effective feedback interventions have been identified. These suggestions are intended to provide practical guidance to quality improvement professionals, information technology developers, educators, administrators, and practitioners who receive such interventions. Designing interventions with these suggestions in mind should improve their effect, and studying the mechanisms underlying these suggestions will advance a stagnant literature.
电子实践数据越来越多地被用于提供反馈以鼓励实践改进。然而,有证据表明,尽管有几十年的经验,这种干预的效果差异很大,而且并没有随着时间的推移而改善。关于提供更有效的反馈的指导确实存在,但它分布在广泛的学科和理论观点中。通过专家访谈、系统评价以及提供、评估和接收实践反馈的经验,确定了 15 条被认为与有效反馈干预相关的建议。这些建议旨在为质量改进专业人员、信息技术开发人员、教育者、管理人员和接受此类干预的从业者提供实用指导。设计这些建议的干预措施应该会提高它们的效果,而研究这些建议背后的机制将推动停滞不前的文献发展。