Should physicians perform their own quality assurance audits?
Abstract
Quality assurance is required of all hospital outpatient clinics although there is little evidence documenting its value. The purposes of this study were to assess the impact of quality assurance audits on physicians' ordering behavior and to learn whether doctors who actually performed audits behaved differently from physicians who passively received audit results. Baseline influenza vaccination and screening mammography ordering rates were established for the authors' residents' clinic in 1985. In 1986, residents were assigned randomly to three groups. Residents in one group audited their own charts for 1985 influenza vaccination ordering; the second group audited its own charts for 1985 screening mammography ordering; and the third group performed no audit but received the other groups' results. Passive receipt of results improved ordering of vaccination from 40% to 59% and ordering of mammography from 8% to 16%. Actual performance of audits improved ordering of mammography from 16% to 26% but did not improve vaccination ordering. These quality assurance audits were effective in improving the performance of selected preventive health measures in a residents' clinic.
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Brady 1988 found that when resident physicians conducted a self-audit at baseline, it led to improvements compared with simply receiving the data for mammographic screening rates (adjusted RD = 8%; no OR reported, P value reported as < 0.05).
“Conversely, Brady 1988 found that when resident physicians conducted a self‐audit at baseline, it led to improvements compared with simply receiving the data for mammographic screening rates (adjusted RD = 8%; no OR reported, P value reported as < 0.05) but not to a statistically significant improvement for influenza vaccination rates (adjusted RD = 1.5%; no OR reported, P = 0.17).”
From Audit and feedback: effects on professional practice and healthcare outcomes (2012) · cites this paper as Brady 1988
Brady 1988 found that resident physician self-audit at baseline did not lead to a statistically significant improvement for influenza vaccination rates (adjusted RD = 1.5%; no OR reported, P = 0.17).
“Conversely, Brady 1988 found that when resident physicians conducted a self‐audit at baseline, it led to improvements compared with simply receiving the data for mammographic screening rates (adjusted RD = 8%; no OR reported, P value reported as < 0.05) but not to a statistically significant improvement for influenza vaccination rates (adjusted RD = 1.5%; no OR reported, P = 0.17).”
From Audit and feedback: effects on professional practice and healthcare outcomes (2012) · cites this paper as Brady 1988
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References 19 · Cited by 25
- Authors
- Brady, W. J., Hissa, D. C., McConnell, M., & Wones, R. G.
- Affiliations
- University of Cincinnati (US)
- Venue
- Journal of General Internal Medicine
- Published
- 1988-11
- Volume
- 3
- Issue
- 6
- Pages
- 560-565
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- OpenAlex
- W1995356982
- Cited by
- 25
- References
- 19
- Citations by year
- 2025: 1 · 2021: 2 · 2018: 1 · 2014: 1 · 2012: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of General Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- quality assurance audit, influenza vaccination, mammography screening, preventive medicine, physician ordering behavior, outpatient clinics, quality improvement
- MeSH terms
- Hospitals, Teaching, Humans, Medical Audit, Medical Staff, Hospital, Ohio, Outpatient Clinics, Hospital, Quality Assurance, Health Care
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