[How to optimize Audit&Feedback: experience from the EASY-NET programme].

IF 1.2 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Epidemiologia & Prevenzione Pub Date : 2023-11-01 DOI:10.19191/EP23.6.A664.074

Anna Acampora, Carmen Angioletti, Melissa D'Agostino, Laura Deroma, Annarita Tullio, Eva Pagano, Giovannino Ciccone, Giulio Marchesini, Roberto Grilli, Alice Bonomi, Giancarlo Marenzi, Angela Giusti, Roberta Venturella, Rosella Ciurleo, Placido Bramanti, Marina Davoli, Nerina Agabiti

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引用次数: 0

Abstract

This is the second of a series of papers dedicated to the EASY-NET research programme (NET-2016-02364191). The rationale, structure and methodologies are described in the previous contribution. Scientific literature demonstrated that Audit & Feedback (A&F) is an effective strategy for continuous quality improvement and its effectiveness varies considerably according to factors that are currently little known. Some recent publication pointed out, with the contribution of an international group of experts, 15 suggestions to optimize A&F and developed a tool to evaluate their application. This tool, called REFLECT-52, includes 52 items related to the 15 suggestions and organized into four categories relating to the "Nature of the desired action", to the "Nature of the data available for feedback", to the "Feedback Display" and to the "Intervention delivery". Then, the aim of this work was to evaluate the level of adherence of A&F interventions tested in EASY-NET to suggestions from the literature by using a slightly adapted version of the REFLECT-52 tool, in its original language. In EASY-NET, 14 A&F interventions with different characteristics and in different clinical and organizational contexts were tested in seven Italian regions, each of these was evaluated by the respective research groups. Overall, the level of adherence was high in three of the four categories analysed, with some difficulties reported regarding the nature of the data available for feedback. In fact, contrary to what the literature suggests, it was not possible to send repeated feedback for some interventions and, in some cases, the data available for feedback presented a delay longer than one year. In summary, this analysis has confirmed a high level of compliance of the interventions tested with the suggestions from the literature, but it has also allowed researchers to identify critical aspects that need to be addressed for the future development of these strategies.

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[如何优化审计与反馈：EASY-NET 计划的经验]。

本文是 EASY-NET 研究计划（NET-2016-02364191）系列论文的第二篇。前一篇论文介绍了该计划的原理、结构和方法。科学文献表明，审计与反馈（A&F）是持续质量改进的有效策略，其有效性因目前鲜为人知的因素而存在很大差异。最近的一些出版物指出，在一个国际专家组的贡献下，有 15 项建议可以优化审核与反馈，并开发了一种工具来评估这些建议的应用情况。该工具名为 REFLECT-52，包括与这 15 项建议相关的 52 个项目，并分为与 "预期行动的性质"、"可用于反馈的数据的性质"、"反馈显示 "和 "干预交付 "相关的四个类别。然后，这项工作的目的是通过使用略有改动的 REFLECT-52 工具原文版本，评估在 EASY-NET 中测试的 A&F 干预措施对文献建议的遵从程度。在 EASY-NET 中，意大利七个大区对 14 项具有不同特点、不同临床和组织背景的 A&F 干预措施进行了测试，每个干预措施都由相应的研究小组进行了评估。总体而言，在所分析的四个类别中，有三个类别的坚持率很高，但在反馈数据的性质方面存在一些困难。事实上，与文献记载的情况相反，有些干预措施无法重复发送反馈信息，在某些情况下，可用于反馈的数据延迟时间超过一年。总之，这项分析证实，所测试的干预措施与文献中的建议高度一致，但也让研究人员确定了这些战略的未来发展需要解决的关键问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Epidemiologia & Prevenzione 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.60

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： Epidemiologia & Prevenzione, oggi organo della Associazione italiana di epidemiologia, raccoglie buona parte delle migliori e originali esperienze italiane di ricerca epidemiologica e di studio degli interventi per la prevenzione e la sanità pubblica. La rivista – indicizzata su Medline e dotata di Impact Factor – è un canale importante anche per la segnalazione al pubblico internazionale di contributi che altrimenti circolerebbero soltanto in Italia. E&P in questi decenni ha svolto una funzione di riferimento per la sanità pubblica ma anche per i cittadini e le loro diverse forme di aggregazione. Il principio che l’ha ispirata era, e rimane, che l’epidemiologia ha senso se è funzionale alla prevenzione e alla sanità pubblica e che la prevenzione ha ben poche possibilità di realizzarsi se non si fonda su valide basi scientifiche e se non c’è la partecipazione di tutti i soggetti interessati. Modalità di comunicazione aggiornate, metodologia statistica ed epidemiologica rigorosa, validità degli studi e solidità delle interpretazioni dei risultati sono la solida matrice su cui E&P è costruita. A questa si accompagna una forte responsabilità etica verso la salute pubblica, che oggi ha ampliato in forma irreversibile il suo orizzonte, e include in forma sempre più consapevole non solo gli esseri umani, ma l’intero pianeta e le modificazioni che l’uomo apporta all’universo in cui vive. L’ambizione è che l’offerta di nuovi strumenti di comunicazione, informazione e formazione, soprattutto attraverso l''uso di internet, renda la rivista non solo un tradizionale veicolo di contenuti e analisi scientifiche, ma anche un potente strumento a disposizione di una comunità di interessi e di valori che ha a cuore la salute pubblica.