Background
Theoretical framework
Studying the information–intention gap in audit and feedback
Closing the intention–behaviour gap in audit and feedback with an action implementation toolbox
Study objectives and hypotheses
Methods
Study design
Setting
Participants and data collection
Intervention
Quality indicators and action implementation toolbox
Quality indicator | Type | Unit of observation | Nominator | Denominator |
---|---|---|---|---|
Performing pain measurements each shift | Process | Patient shift | Patient shifts during which pain was measured at least once | All patient shifts |
Acceptable pain scores | Outcome | Patient shift | Patient shifts during which pain was measured and no unacceptable pain scores were observed | Patient shifts during which pain was measured |
Repeating pain measurements with unacceptable score within 1 h | Process | Patient shift | Patient shifts during which an unacceptable pain score was measured, and pain was re-measured within 1 h | Patient shifts during which an unacceptable pain score was measured |
Unacceptable pain scores normalised within 1 h | Outcome | Patient shift | Patient shifts during which an unacceptable pain score was measured, and pain was re-measured within 1 h indicating that the pain score was normalised | Patient shifts during which an unacceptable pain score was measured |
The NICE dashboard
Procedure for part 1: laboratory experiment
Hypothesis violation | Predefined reason |
---|---|
Negative self-assessment but no improvement intention | This indicator is not an important/relevant aspect of intensive care |
Actions will not improve our performance score on this indicator | |
We lack the resources/time/knowledge to take action for this indicator | |
Me or my colleagues cannot be motivated to take action for this indicator | |
The benchmark (median/top 10%) is unrealistic/unfeasible (round 2 only) | |
The measured performance score for our ICU is inaccurate (round 2 only) | |
Positive self-assessment but improvement intention | This indicator is an essential aspect of quality of intensive care |
It is easy to improve our performance score on this indicator | |
Our performance is too low (round 2 only) |