Osvaldo P. Almeida, 2012 |
CRCT |
The care for patients with depression
and self-harm behavior in a large sample of primary care patients aged
60 years or older |
A composite measure of clinically significant
depression (Patient Health Questionnaire score ≥10) or self-harm
behavior (suicide thoughts or attempt during the previous 12 months) |
The intervention consisted of a practice audit with
personalized automated audit feedback, printed educational material, and
6-monthly educational newsletters delivered over a period of 2
years.
Control physicians completed a practice audit but
did not receive individualized feedback. They also received 6-monthly
newsletters describing the progress of the study, but they were not
offered access to the educational material about screening, diagnosis
and management of depression, and suicide behavior in later life.
|
Depression |
GP |
Anthony J Avery, 2012 |
CRCT |
Medication errors |
The proportions of
patients at 6 months after the intervention who had had any of three
clinically important errors: non selective NSAIDs prescribed to those
with a history of peptic ulcer without co-prescription of a proton-pump
inhibitor; β blockers prescribed to those with a history of asthma;
long-term prescription of ACE-I or loop diuretics to those 75 years or
older without assessment of urea and electrolytes in the preceding 15
months. |
Computer-generated simple feedback for at-risk patients
(control) versus a pharmacist-led information technology intervention,
composed of feedback, educational outreach, and dedicated support. |
Medication safety |
GP |
B. Bonevski, 1999 |
RCT |
Preventive medicine |
Assessing smoking and
benzodiazepine use sensitivity, specificity, and overall accuracy and
whether blood pressure and cholesterol screening levels were obtained. |
Those given the intervention received a computerized feedback system;
control group was given usual care |
Preventive medicine |
GP |
Carlos A. Estrada, 2011 |
CRCT |
Improving diabetes control |
‘Acceptable control’: [hemoglobin A1c <9%, blood pressure
<140/90 mmHg, LDL cholesterol <130 mg/dl] and
‘optimal control’: [hemoglobin A1c <7%, blood pressure
<130/80 mmHg, LDL cholesterol <100 mg/dl]. |
A
multi-component intervention including Web-based CME, performance
feedback and quality improvement tools versus usual care (physicians in
the control group did not receive performance feedback reports or
electronic communications) |
Diabetes |
Primary care
physicians |
Trine Lignell Guldberg, 2011 |
CRCT |
Quality of type 2 diabetes care |
Processes of care according to guidelines on redeemed prescriptions for
recommended type 2 diabetes treatment, measuring of HbA1c and
cholesterol and visits to ophthalmologists |
To receive or not to
receive electronic feedback on quality of care |
Type 2 diabetes |
GP |
Bruce Guthrie, 2016 |
CRCT |
Safety of prescribing |
Proportion of
patients included in one or more of the defined 6 individual secondary
outcomes (denominator) who receive any high risk prescription
(numerator) |
3 arms: “usual care,” (consisting of emailed educational
material with support for searching to identify patient); usual care
plus feedback on practice’s high risk prescribing; usual care plus the
same feedback incorporating a behavioral change component |
Safety of
prescribing |
GP |
Wei Yin Lim, 2018 |
CRCT |
Manual prescribing medication |
The
percentage of prescriptions with at least one error (error versus no
error) |
a) full feedback intervention [structured
prescription review and prescribing performance feedback (league tables
and authorized feedback letter)], b) partial feedback intervention
[structured prescription review and
prescribing
performance feedback (league tables only)],
or c) usual care as control (structured prescription review only).
|
Errors in prescribing |
Primary care prescribers |
Jeffrey A. Linder, 2010 |
CRCT |
Antibiotic prescribing |
The primary
outcome was the intent-to-intervene antibiotic prescribing rate for
acute respiratory infection visits. |
the ARI Quality Dashboard, an
EHR–based feedback system versus usual care |
Acute respiratory
infections |
Primary care physicians |
James W. Mold, 2008 |
RCT |
Preventive service delivery |
The number of
practices who implemented one or more evidence-based processes and the
total number of processes implemented, as determined by a blinded expert
panel from transcripts of structured clinician interviews conducted at
baseline and after a 6-month intervention period |
Comparing a
multicomponent quality improvement intervention (Intervention practices
received performance feedback, peer-to-peer education (academic
detailing), a practice facilitator, and computer (information
technology) support) to feedback and benchmarking (= control) |
Preventive medicine |
Clinicians |
Gbenga Ogedegbe, 2014 |
CRCT |
Blood Pressure controle |
The rate of BP
control at 12 months, defined as mean BP <140/90 mm Hg (or
mean BP <130/80 mm Hg for those with diabetes mellitus or
kidney disease) |
Patients at the intervention sites received patient
education, home BP monitoring, and monthly lifestyle counseling, whereas
physicians attended monthly hypertension case rounds and received
feedback on their patients’ home BP readings and chart audits. Patients
and physicians at the usual care sites received printed patient
education material and hypertension treatment guidelines, respectively. |
Hypertension |
GP |
Steven Ornstein, 2010 |
CRCT |
Colorectal cancer (CRC) screening |
Proportion of active patients up to date with CRC screening and having
screening recommended within past year among those not up to date |
A
quality improvement intervention combining EHR based audit and feedback,
practice site visits for academic detailing and participatory planning,
and “best-practice” dissemination on CRC screening versus usual care |
Colorectal cancer |
Primary care physicians |
Ginger A. Pape, 2011 |
CRCT |
Cholesterol
Management in Diabetes
Mellitus
|
Proportion of participants in each arm achieving a target
LDL level of 100 mg/dL or lower |
The intervention included remote
physician-pharmacist team-based care focused on cholesterol management
in DM versus control. All clinicians in the study had access to a health
information technology tool, which provided automated DM-related
point-of-care prompts, a Web-based registry, and performance feedback
with benchmarking. |
Cholesterol
management in diabetes
mellitus
|
Family practice and internal medicine
physicians |
David Peiris, 2015
|
CRCT
|
Cardiovascular disease risk management
|
There are 2 coprimary outcomes:
1. The proportion of eligible patients who received appropriate
screening of CVD risk factors by the end of study. 2. The proportion of
eligible patients defined at baseline as being at high CVD risk,
receiving recommended medication prescriptions at the end of
study.
|
The intervention arm consisted of a computer-guided QI intervention
comprising point-of care electronic decision support, audit and feedback
tools, and clinical workforce training versus usual care.
|
Cardiovascular disease risk management
|
GP
|
Inés Urbiztondo, 2017 |
CRCT |
Antibiotic prescribing
in patients with
suspected respiratory tract infection
|
The change in the proportion of patients treated with antibiotics for
respiratory tract infection |
Intervention (evidence-based online
feedback) versus control (no exposure to the evidence-based online
feedback) |
respiratory tract infections |
GP |
Dragos Vinereanu, 2017 |
CRCT |
Use of oral anticoagulant medication in
atrial fibrillation to avoid stroke |
The change in the proportion of
patients treated with oral anticoagulants |
Intervention consisting of 2
components
(education and regular monitoring & feedback)
versus usual care
|
Atrial fibrillation |
Health care
providers |
William C. Wadland, 2007 |
CRCT |
Smoking cessation |
Changes from
baseline to post intervention (18 months) in clinician referrals in both
intervention and control groups |
Comparing the impact of 6 quarterly
feedback reports (intervention) with that of general reminders (control) |
Smoking cessation |
Clinicians |
N. Winslade, 2016 |
RCT |
Provision of professional services and the
quality of patients’ medication use |
The number of hypertension/asthma
services billed per pharmacy and percentage of dispensing to
non-adherent patients over the 12 months post intervention. |
Pharmacy-specific performance feedback reports versus no feedback
reports |
Astma and hypertension |
Pharmacist |