{"id":"https://openalex.org/W2139258049","doi":"https://doi.org/10.1186/1748-5908-1-9","title":"Audit and feedback and clinical practice guideline adherence: Making feedback actionable","display_name":"Audit and feedback and clinical practice guideline adherence: Making feedback actionable","publication_year":2006,"publication_date":"2006-04-28","ids":{"openalex":"https://openalex.org/W2139258049","doi":"https://doi.org/10.1186/1748-5908-1-9","mag":"2139258049","pmid":"https://pubmed.ncbi.nlm.nih.gov/16722539","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1479835"},"language":"en","primary_location":{"id":"doi:10.1186/1748-5908-1-9","doi":"https://doi.org/10.1186/1748-5908-1-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1748-5908-1-9","pdf_url":"https://implementationscience.biomedcentral.com/counter/pdf/10.1186/1748-5908-1-9","source":{"id":"https://openalex.org/S76880069","display_name":"Implementation Science","issn_l":"1748-5908","issn":["1748-5908"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-a","fnege-4","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implementation Science","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://implementationscience.biomedcentral.com/counter/pdf/10.1186/1748-5908-1-9","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5031974931","display_name":"Sylvia J. Hysong","orcid":"https://orcid.org/0000-0002-9063-5207","observed_orcids":["https://orcid.org/0000-0002-9063-5207"]},"institutions":[{"id":"https://openalex.org/I1299501804","display_name":"Michael E. DeBakey VA Medical Center","ror":"https://ror.org/052qqbc08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1299501804","https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210138636"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sylvia J Hysong","raw_affiliation_strings":["Houston Center for Quality of Care and Utilization Studies, Michael E. DeBakey VA Medical Center, Houston, Texas, USA. sylvia.hysong@med.va.gov","Houston Center for Quality of Care and Utilization Studies, Michael E. DeBakey VA Medical Center, Houston, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Houston Center for Quality of Care and Utilization Studies, Michael E. DeBakey VA Medical Center, Houston, Texas, USA. sylvia.hysong@med.va.gov","institution_ids":["https://openalex.org/I1299501804"]},{"raw_affiliation_string":"Houston Center for Quality of Care and Utilization Studies, Michael E. DeBakey VA Medical Center, Houston, Texas, USA","institution_ids":["https://openalex.org/I1299501804"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024278380","display_name":"Richard G. Best","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1287521167","display_name":"Lockheed Martin (United States)","ror":"https://ror.org/026er9r08","country_code":"US","type":"company","lineage":["https://openalex.org/I1287521167"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard G Best","raw_affiliation_strings":["Healthcare Solutions Division, Lockheed Martin Information Technology, San Antonio, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Healthcare Solutions Division, Lockheed Martin Information Technology, San Antonio, Texas, USA","institution_ids":["https://openalex.org/I1287521167"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5022643760","display_name":"Jacqueline A. Pugh","orcid":"https://orcid.org/0000-0003-4933-141X","observed_orcids":["https://orcid.org/0000-0003-4933-141X"]},"institutions":[{"id":"https://openalex.org/I165951966","display_name":"The University of Texas at San Antonio Health Science Center","ror":"https://ror.org/02f6dcw23","country_code":"US","type":"education","lineage":["https://openalex.org/I165951966","https://openalex.org/I45438204"]},{"id":"https://openalex.org/I4210144081","display_name":"South Texas Veterans Health Care System","ror":"https://ror.org/03n2ay196","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210144023","https://openalex.org/I4210144081"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jacqueline A Pugh","raw_affiliation_strings":["Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA","Veterans Evidence-Based Research Dissemination and Implementation Center, South Texas Veterans Health Care System, San Antonio, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA","institution_ids":["https://openalex.org/I165951966"]},{"raw_affiliation_string":"Veterans Evidence-Based Research Dissemination and Implementation Center, South Texas Veterans Health Care System, San Antonio, Texas, USA","institution_ids":["https://openalex.org/I4210144081"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5031974931"],"corresponding_institution_ids":["https://openalex.org/I1299501804"],"apc_list":{"value":3390,"currency":"USD","value_usd":3390},"apc_paid":{"value":3390,"currency":"USD","value_usd":3390},"fwci":8.3582,"has_fulltext":true,"cited_by_count":371,"citation_normalized_percentile":{"value":0.97931756,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"1","issue":"1","first_page":"9","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.6377000212669373,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.6377000212669373,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.350600004196167,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/audit-and-feedback","display_name":"audit and feedback","score":0.996999979019165},{"id":"https://openalex.org/keywords/clinical-practice-guideline-adherence","display_name":"clinical practice guideline adherence","score":0.9800000190734863},{"id":"https://openalex.org/keywords/actionable-feedback","display_name":"actionable feedback","score":0.9879999756813049},{"id":"https://openalex.org/keywords/feedback-characteristics","display_name":"feedback characteristics","score":0.6510000228881836},{"id":"https://openalex.org/keywords/personalized-feedback","display_name":"personalized feedback","score":0.9580000042915344},{"id":"https://openalex.org/keywords/guideline-implementation","display_name":"guideline implementation","score":0.5249999761581421},{"id":"https://openalex.org/keywords/veterans-affairs-hospitals","display_name":"Veterans Affairs hospitals","score":0.7900000214576721},{"id":"https://openalex.org/keywords/provider-behavior-change","display_name":"provider behavior change","score":0.4909999966621399}],"concepts":[{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.7130011320114136},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6801257133483887},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.6098726987838745},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.457016259431839},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.44306662678718567},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.4309343695640564},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.4206704795360565},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.40634679794311523},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.23324143886566162},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.22594359517097473},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1186/1748-5908-1-9","doi":"https://doi.org/10.1186/1748-5908-1-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1748-5908-1-9","pdf_url":"https://implementationscience.biomedcentral.com/counter/pdf/10.1186/1748-5908-1-9","source":{"id":"https://openalex.org/S76880069","display_name":"Implementation Science","issn_l":"1748-5908","issn":["1748-5908"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-a","fnege-4","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implementation Science","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:1479835","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1479835","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implement Sci","raw_type":"Text"},{"id":"pmid:16722539","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16722539","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implementation science : IS","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:59016586d7f54c8da9d2f3ee175d37d0","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/59016586d7f54c8da9d2f3ee175d37d0","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Implementation Science, Vol 1, Iss 1, p 9 (2006)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/1748-5908-1-9","doi":"https://doi.org/10.1186/1748-5908-1-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1748-5908-1-9","pdf_url":"https://implementationscience.biomedcentral.com/counter/pdf/10.1186/1748-5908-1-9","source":{"id":"https://openalex.org/S76880069","display_name":"Implementation Science","issn_l":"1748-5908","issn":["1748-5908"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-a","fnege-4","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implementation Science","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8048999905586243}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"},{"id":"https://openalex.org/F4320309610","display_name":"Health Services Research and Development","ror":"https://ror.org/05rsv9s98"},{"id":"https://openalex.org/F4320332686","display_name":"University of Texas Health Science Center at San Antonio","ror":"https://ror.org/02f6dcw23"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2139258049.pdf","grobid_xml":"https://content.openalex.org/works/W2139258049.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W577936617","https://openalex.org/W1515587369","https://openalex.org/W1658908529","https://openalex.org/W1993289458","https://openalex.org/W1999967110","https://openalex.org/W2002545426","https://openalex.org/W2006069755","https://openalex.org/W2012158498","https://openalex.org/W2014151306","https://openalex.org/W2026832271","https://openalex.org/W2030135236","https://openalex.org/W2030441548","https://openalex.org/W2038028146","https://openalex.org/W2050674253","https://openalex.org/W2053413520","https://openalex.org/W2065583808","https://openalex.org/W2098088205","https://openalex.org/W2099151444","https://openalex.org/W2105501846","https://openalex.org/W2107669547","https://openalex.org/W2107863925","https://openalex.org/W2123697166","https://openalex.org/W2140303347","https://openalex.org/W2141355713","https://openalex.org/W2144906665","https://openalex.org/W2153682274","https://openalex.org/W2160626712","https://openalex.org/W2165382314","https://openalex.org/W2418515455","https://openalex.org/W4206109499","https://openalex.org/W4245034287","https://openalex.org/W4250400449","https://openalex.org/W4256105197","https://openalex.org/W4299588845"],"related_works":["https://openalex.org/W2765284443","https://openalex.org/W7203794814","https://openalex.org/W2807628308","https://openalex.org/W3145513459","https://openalex.org/W2462586659","https://openalex.org/W7168784785","https://openalex.org/W4220913586","https://openalex.org/W1976721432","https://openalex.org/W4407386651","https://openalex.org/W2188903786"],"abstract_inverted_index":{"BACKGROUND:":[0],"As":[1],"a":[2,67,185,208],"strategy":[3],"for":[4,58],"improving":[5],"clinical":[6,55],"practice":[7],"guideline":[8,189,212],"(CPG)":[9],"adherence,":[10],"audit":[11,56],"and":[12,44,79,93,115,149,151,176,197],"feedback":[13,31,59,137,162,199,220],"(A&F)":[14],"has":[15,25],"been":[16],"found":[17],"to":[18,82,117,138,192,200],"be":[19,179],"variably":[20],"effective,":[21],"yet":[22],"A&F":[23],"research":[24],"not":[26],"investigated":[27],"the":[28,51,102,126,165,169,225],"impact":[29],"of":[30,66,70,160,188,211],"characteristics":[32,222],"on":[33,153],"its":[34],"effectiveness.":[35],"This":[36],"paper":[37],"explores":[38],"how":[39],"high":[40,78],"performing":[41,46],"facilities":[42,47,104,206],"(HPF)":[43],"low":[45,80,141],"(LPF)":[48],"differ":[49],"in":[50,106,146],"way":[52],"they":[53,111],"use":[54],"data":[57],"purposes.":[60],"METHOD:":[61],"Descriptive,":[62],"qualitative,":[63],"cross-sectional":[64],"study":[65],"purposeful":[68],"sample":[69],"six":[71,83,103],"Veterans":[72],"Affairs":[73],"Medical":[74],"Centers":[75],"(VAMCs)":[76],"with":[77,97,184,207,215],"adherence":[81,190,204],"CPGs,":[84],"as":[85,164],"measured":[86],"by":[87],"external":[88],"chart":[89],"review":[90],"audits.":[91],"One-hundred":[92],"two":[94],"employees":[95],"involved":[96],"outpatient":[98],"CPG":[99],"implementation":[100],"across":[101],"participated":[105],"one-hour":[107],"semi-structured":[108],"interviews":[109],"where":[110],"discussed":[112],"strategies,":[113],"facilitators":[114],"barriers":[116],"implementing":[118],"CPGs.":[119],"Interviews":[120],"were":[121,143],"analyzed":[122],"using":[123],"techniques":[124],"from":[125,168,217],"grounded":[127],"theory":[128],"method.":[129],"RESULTS:":[130],"High":[131],"performers":[132,142],"provided":[133],"timely,":[134,195],"individualized,":[135],"non-punitive":[136,198],"providers,":[139],"whereas":[140],"more":[144,154,194],"variable":[145],"their":[147,203],"timeliness":[148],"non-punitiveness":[150],"relied":[152],"standardized,":[155],"facility-level":[156],"reports.":[157],"The":[158],"concept":[159],"actionable":[161],"emerged":[163],"core":[166],"category":[167],"data,":[170],"around":[171],"which":[172],"timeliness,":[173],"individualization,":[174],"non-punitiveness,":[175],"customizability":[177],"can":[178],"hierarchically":[180],"ordered.":[181],"CONCLUSION:":[182],"Facilities":[183],"successful":[186],"record":[187,210],"tend":[191],"deliver":[193],"individualized":[196],"providers":[201],"about":[202],"than":[205],"poor":[209],"adherence.":[213],"Consistent":[214],"findings":[216],"organizational":[218],"research,":[219],"intervention":[221],"may":[223],"influence":[224],"feedback's":[226],"effectiveness":[227],"at":[228],"changing":[229],"desired":[230],"behaviors.":[231]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":27},{"year":2023,"cited_by_count":20},{"year":2022,"cited_by_count":26},{"year":2021,"cited_by_count":31},{"year":2020,"cited_by_count":22},{"year":2019,"cited_by_count":24},{"year":2018,"cited_by_count":24},{"year":2017,"cited_by_count":26},{"year":2016,"cited_by_count":26},{"year":2015,"cited_by_count":20},{"year":2014,"cited_by_count":27},{"year":2013,"cited_by_count":17},{"year":2012,"cited_by_count":16}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2016-06-24T00:00:00"}