Channelling the force of audit and feedback: averting the dark side

Eilidh Duncan, Noah Michael Ivers, J. M. Grimshaw* (Corresponding Author)

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)
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Audit and feedback is a strategy used to improve healthcare delivery and promote the implementation of evidence-based practice.1 A recipient, at individual, team or unit level, is provided with summary data of their performance over a specified period of time to act as a stimulus for behaviour change and quality improvement. Audit and feedback is used across clinical conditions and settings around the world. When used correctly, it is effective, scalable and relatively inexpensive.1 However, every healthcare improvement strategy has the potential to have a ‘dark side’2; the potential for adverse effects to arise from providing audit and feedback warrants careful consideration. How can we ensure that audit and feedback initiatives will lead to more benefits than harms?
Original languageEnglish
Pages (from-to)695-697
Number of pages3
JournalBMJ Quality & Safety
Issue number10
Early online date29 Mar 2022
Publication statusPublished - 19 Sept 2022

Bibliographical note

EMD is funded through a personal fellowship from the Healthcare Improvement Studies Institute, supported by the Health Foundation’s grant to the University of Cambridge. JMG holds a Canada Research Chair in Health Knowledge Transfer and Uptake. NMI holds a Canada Research Chair in Implementation of Evidence-based Practice


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