Related Experiment Video

Updated: May 12, 2026

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management

Published on: June 29, 2019

Rapid cycle, randomised testing of precision feedback to improve engagement with a process measure dashboard amongst

Patrick Lewicki¹, Bassel Salka², Stephanie Daignault-Newton²

¹Department of Urology, University of Michigan, Ann Arbor, Michigan, USA lewickip@med.umich.edu.

|May 7, 2025

Abstract

Introduction:

Rapid-cycle randomised testing holds high potential to enhance quality improvement practice but remains under-utilised because it requires significant resource commitment. However, infrastructure for learning networks, such as collaborative quality initiatives and large-scale quality improvement consortia, holds potential to support rapid-cycle testing at low cost and with minimal effort. For example, rapid-cycle randomised testing could be used to optimise 'precision feedback', which prioritises highly motivating tailored content to improve engagement with audit and feedback. We combined these concepts (rapid cycle, randomised testing and precision feedback) with a low-resource emphasis in conceiving this trial.

Methods And Analysis:

A stepped wedge randomised controlled trial will deliver an intervention consisting of precision feedback and modifications to audit and feedback communication to 100 urologists performing ureteroscopy within the Michigan Urological Surgery Improvement Collaborative (MUSIC) and will be compared with a control consisting of standard 'one-size-fits-all' audit and feedback. The study's primary endpoint is online dashboard engagement, measured as the clickthrough rate through the tracking of embedded links in emails. The stent rate following pre-stented ureteroscopy will also be measured. The primary hypothesis is that precision feedback will increase engagement with an audit and feedback dashboard and decrease rates of stenting following pre-stented ureteroscopy. Endpoints will be analysed by linear modelling accounting for repeated measures within individuals, exploring the primary hypothesis through a main effect by the study arm.

Ethics And Dissemination:

Ethics and regulatory approval have been obtained from the Institutional Review Board of the University of Michigan (HUM#00248876). The findings will be disseminated in peer-reviewed journals and conferences.

Trial Registration Number:

ClinicalTrials.gov registration number: NCT06465667. Registered 6/20/2024. .

Keywords:

Clinical Trial Implementation Science UROLOGY

More Related Videos

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

Author Spotlight: Enhanced Urodynamic Method for Precise Urine Measurement in Awake Mice with Neurogenic Bladder

Author Spotlight: Enhanced Urodynamic Method for Precise Urine Measurement in Awake Mice with Neurogenic Bladder

Published on: June 7, 2024

Related Concept Videos

Randomized Experiments

Randomized Experiments

The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...

Blinding

Blinding

Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.

Urodynamic Studies: Uroflowmetry

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...

Articles linked to this work by shared authors, journal, and citation graph.

Smart Lithotripsy: Lasers, Energy Sources and Efficiency.

Current urology reports·2026

Retrospective Evaluation of Contemporary Complication Rates and Severity After Suprapubic Tube Placement by Urology and Interventional Radiology.

Neurourology and urodynamics·2026

Real-Time Laser Fiber-to-Stone Distance Proximity Indicator Improves Ureteroscopic Stone Ablation: In Vitro Evaluation.

Urology·2026

Adjuvant Radiation Therapy vs Initial Observation for Patients After Prostatectomy With Adverse Pathology: Have Findings From 3 Randomized Clinical Trials Influenced Clinical Practice?

Urology practice·2026

External validation of the European association of urology biochemical recurrence risk groups to predict mortality after radical prostatectomy or radiation therapy in a North American cohort.

BJUI compass·2026

Faculty-Resident Concordance in Workplace-Based Operative Assessment Using the Society for Improving Medical Professional Learning Platform in Urology Residency.

Urology·2026

See all related articles