Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care

The Audit and Feedback process (AandF) is commonly accepted as a good way to improve quality in health care, also in Emergency Departments (ED), where health aspects and pathologies are very different, usually acute and highly complex. Within an Italian Ministry of Health research project called EAS...

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Main Authors: Sabrina Licata, Annarita Tullio, Francesca Valent
Format: Article
Language:English
Published: PAGEPress Publications 2020-12-01
Series:Emergency Care Journal
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/ecj/article/view/9201
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author Sabrina Licata
Annarita Tullio
Francesca Valent
author_facet Sabrina Licata
Annarita Tullio
Francesca Valent
author_sort Sabrina Licata
collection DOAJ
description The Audit and Feedback process (AandF) is commonly accepted as a good way to improve quality in health care, also in Emergency Departments (ED), where health aspects and pathologies are very different, usually acute and highly complex. Within an Italian Ministry of Health research project called EASY-NET, we conducted a systematic review of literature on AandF in EDs from 2014 to December 2019 to evaluate the impact of this approach in a particular setting where time-dependent indicators are fundamental. We selected 24 articles: 9 about infective pathologies (i.e. antibiotic stewardship), 6 about cardiovascular acute emergencies (i.e. cardiac arrest), 2 about stroke, 3 about laboratory tests, and 4 about other fields (i.e. diabetic ketoacidosis or use of prothrombin complex). Most of articles proposed a multimodal approach: only 7 concerned AandF alone. Despite the wide range on interventions modality and the poor comparability of the considered studies, the results are encouraging and confirm the importance to implement AandF both in emergency and in other clinical settings.
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spelling doaj.art-1fdc66a3e24a46ce8ab080eb884dd8c32022-12-22T00:17:52ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542020-12-0116310.4081/ecj.2020.9201Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of careSabrina Licata0Annarita Tullio1Francesca Valent2Istituto di Igiene ed Epidemiologia Clinica, Azienda Sanitaria Universitaria Integrata di Udine, UdineIstituto di Igiene ed Epidemiologia Clinica, Azienda Sanitaria Universitaria Integrata di Udine, UdineIstituto di Igiene ed Epidemiologia Clinica, Azienda Sanitaria Universitaria Integrata di Udine, UdineThe Audit and Feedback process (AandF) is commonly accepted as a good way to improve quality in health care, also in Emergency Departments (ED), where health aspects and pathologies are very different, usually acute and highly complex. Within an Italian Ministry of Health research project called EASY-NET, we conducted a systematic review of literature on AandF in EDs from 2014 to December 2019 to evaluate the impact of this approach in a particular setting where time-dependent indicators are fundamental. We selected 24 articles: 9 about infective pathologies (i.e. antibiotic stewardship), 6 about cardiovascular acute emergencies (i.e. cardiac arrest), 2 about stroke, 3 about laboratory tests, and 4 about other fields (i.e. diabetic ketoacidosis or use of prothrombin complex). Most of articles proposed a multimodal approach: only 7 concerned AandF alone. Despite the wide range on interventions modality and the poor comparability of the considered studies, the results are encouraging and confirm the importance to implement AandF both in emergency and in other clinical settings.https://www.pagepressjournals.org/index.php/ecj/article/view/9201Audit and FeedbackEmergency departmentsTime- Dependent IndicatorsInterrupted Time Series
spellingShingle Sabrina Licata
Annarita Tullio
Francesca Valent
Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care
Emergency Care Journal
Audit and Feedback
Emergency departments
Time- Dependent Indicators
Interrupted Time Series
title Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care
title_full Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care
title_fullStr Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care
title_full_unstemmed Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care
title_short Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care
title_sort audit and feedback in emergency a systematic review and an italian project to investigate and improve quality of care
topic Audit and Feedback
Emergency departments
Time- Dependent Indicators
Interrupted Time Series
url https://www.pagepressjournals.org/index.php/ecj/article/view/9201
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