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Clinical performance feedback and quality improvement opportunities for perioperative physicians

Authors Kaye A, Okanlawon O, Urman R

Received 10 February 2014

Accepted for publication 11 March 2014

Published 3 May 2014 Volume 2014:5 Pages 115—123

DOI https://doi.org/10.2147/AMEP.S62165

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3


Alan David Kaye,1 Olutoyin J Okanlawon,2 Richard D Urman2

1Department of Anesthesiology, Louisiana State University School of Medicine, New Orleans, LA, 2Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston MA, USA

Abstract: Clinical performance feedback is an important component of the ongoing development and education of health care practitioners. For physicians, feedback about their clinical practice and outcomes is central to developing both confidence and competence at all stages of their medical careers. Cultural and financial infrastructures need to be in place, and the concept of feedback needs to be readily embraced and encouraged by clinical leadership and other stakeholders. The "buy-in" includes the expectation and view that feedback occurs on a routine basis, and those engaged in the process are both encouraged to participate and held accountable. Feedback must be part of an overarching quality improvement and physician education agenda; it is not meant to be an isolated, fragmented initiative that is typically undermined by lack of resources or systemic barriers to gaining improvement within programs. Effective feedback should be an integral part of clinical practice. Anesthesiologists and other perioperative physicians are identifying specialty-specific indicators that can be used when creating a broader quality improvement agenda. Placing a more immediate formal feedback strategy that focuses on goal-oriented behavior is rapidly becoming a mainstay. Physicians may use their individual feedback reports for reflection and designing personal development plans as lifelong learners and leaders in improving patient care.

Keywords: physician education, outcomes measurement, performance improvement, anesthesiology

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