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Using quality indicators in anaesthesia: feeding back data to improve care.
1Centre for Patient Safety and Service Quality, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, UK. j.benn@imperial.ac.uk
British Journal of Anaesthesia
|June 5, 2012
Summary
Effective feedback of quality indicators is crucial for improving patient care. This involves timely, credible, and continuous data delivery tailored to clinicians to support quality improvement initiatives.
Area of Science:
- Healthcare Quality Improvement
- Clinical Governance
- Patient Safety
Background:
- Recent UK policy developments highlight the need for effective quality of care measurement and reporting in clinical specialties.
- Simply defining quality indicators is insufficient; closing the feedback loop for data utilization is essential for care improvement.
- Anaesthesia presents unique challenges in identifying valid outcome indicators sensitive to variations in care.
Purpose of the Study:
- To review and synthesize research on the effective feedback and utilization of quality indicator information to improve patient care.
- To explore the specific challenges and opportunities for feedback in anaesthesia.
- To identify characteristics of effective feedback mechanisms for quality improvement.
Main Methods:
- This study employed a narrative review methodology.
- It synthesized a diverse body of research on feedback mechanisms in healthcare quality improvement.
- The review considered data from the immediate post-anaesthetic recovery period and broader healthcare feedback literature.
Main Results:
- Feedback of performance data can lead to small to moderate positive effects on outcomes and professional practice.
- Stronger effects are observed when feedback is integrated into broader quality improvement strategies.
- Effective feedback is characterized as timely, credible, confidential, tailored, and continuous.
Conclusions:
- Further research is needed to optimize the feedback of quality indicator information to clinicians and clinical units.
- Effective feedback mechanisms are vital for supporting revalidation and continuous improvement in healthcare.
- Integrating data feedback into quality improvement strategies enhances its impact on patient care and professional practice.
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