Attributes of clinical recommendations that influence change in practice following audit and feedback

摘要: The object of this study was to determine which attributes clinical practice recommendations influence changes in following audit and feedback. This an observational using multilevel modeling examine the relationship between compliance with before after Sixteen hospital gynecology units Scotland participated a national project. Clinical covering selected gynecological topics were developed data collected assess baseline (preintervention) compliance. Summaries performance fed back consultant gynecologists each follow-up (postintervention) collected. Trained assistants used standardized forms abstract from case notes. Compliance available at for total 42 recommendations. Altogether, 4,664 notes contributed 4,382 data. Thirteen describing developed, based upon previous work, pretested. A panel seven rated extent possessed 13 attributes. main outcome measures association attribute practice. Recommendations compatible clinician values not requiring fixed routines independently associated greater follow-up. However, incompatible change Attributes may effectiveness feedback secondary care. seen as are lower but behavioral