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Related Experiment Video

Updated: Jun 12, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Ongoing provision of individual clinician performance data improves practice behavior.

John C Frenzel¹, Spencer S Kee, Joe E Ensor

¹M.D. Anderson Cancer Center, 1515 Holcombe Blvd., Mail Stop 409, Houston, TX 77030, USA. jfrenzel@mdanderson.or

Anesthesia and Analgesia

|June 10, 2010

Summary

Ongoing provider performance feedback significantly improved clinical practice guideline adherence for postoperative nausea and vomiting (PONV) prophylaxis. This method proved more effective than continuing medical education alone or with limited feedback.

Related Experiment Videos

Last Updated: Jun 12, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Area of Science:

Anesthesiology
Healthcare Quality Improvement
Evidence-Based Practice

Background:

Clinical practice guidelines aim to translate scientific evidence into clinical practice.
Slow adoption of guidelines into daily provider practice is a persistent challenge.

Purpose of the Study:

To compare the effectiveness of different interventions on guideline compliance for postoperative nausea and vomiting (PONV) prophylaxis.
To evaluate the impact of continuing medical education (CME) versus performance data feedback on provider adherence.

Main Methods:

Retrospective analysis of 23,279 anesthetics at a major cancer center.
Interventions included CME alone, CME with a single compliance snapshot, and ongoing compliance data reporting.
Guideline compliance was defined by antiemetic administration based on patient risk factors for PONV.

Main Results:

Continuing medical education (CME) alone did not significantly improve compliance rates.
Pairing CME with performance data showed significant improvement compared to CME alone.
Ongoing reporting of provider compliance data yielded the greatest significant improvement.

Conclusions:

Ongoing personal performance feedback is the most effective method for improving guideline compliance.
Provider feedback is a powerful tool for modifying clinical practice, though potential unintended consequences should be considered.