D’Lima, D, Arnold, G, Brett, SJ et al. (3 more authors) (2017) Continuous monitoring and feedback of quality of recovery indicators for anaesthetists: a qualitative investigation of reported effects on professional behaviour. British Journal of Anaesthesia, 119 (1). pp. 115-124. ISSN 0007-0912
Abstract
Background
Research suggests that providing clinicians with feedback on their performance can result in professional behaviour change and improved clinical outcomes. Departments would benefit from understanding which characteristics of feedback support effective quality monitoring, professional behaviour change and service improvement. This study aimed to report the experience of anaesthetists participating in a long-term initiative to provide comprehensive personalized feedback to consultants on patient-reported quality of recovery indicators in a large London teaching hospital.
Methods
Semi-structured interviews were conducted with 13 consultant anaesthetists, six surgical nursing leads, the theatre manager and the clinical coordinator for recovery. Transcripts were qualitatively analysed for themes linked to the perceived value of the initiative, its acceptability and its effects upon professional practice.
Results
Analysis of qualitative data from participant interviews suggested that effective quality indicators must address areas that are within the control of the anaesthetist. Graphical data presentation, both longitudinal (personal variation over time) and comparative (peer-group distributions), was found to be preferable to summary statistics and provided useful and complementary perspectives for improvement. Developing trust in the reliability and credibility of the data through co-development of data reports with clinical input into areas such as case-mix adjustment was important for engagement. Making feedback specifically relevant to the recipient supported professional learning within a supportive and open collaborative environment.
Conclusions
This study investigated the requirements for effective feedback on quality of anaesthetic care for anaesthetists, highlighting the mechanisms by which feedback may translate into improvements in practice at the individual and peer-group level.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | Copyright © 2017 The Author(s). Published by Elsevier Ltd. All rights reserved. This is an author produced version of a paper published in British Journal of Anaesthesia. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | perioperative care; patient safety; quality improvement; quality indicators; quality of recovery; patient-reported outcomes; patient satisfaction |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Jun 2019 12:48 |
Last Modified: | 19 Jun 2019 12:48 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1093/bja/aex136 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:147542 |