文章基本信息

标题：Clinical performance feedback and quality improvement opportunities for perioperative physicians
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作者：Alan David Kaye ; Olutoyin J Okanlawon ; Richard D Urman 等
期刊名称：Advances in Medical Education and Practice
电子版ISSN：1179-7258
出版年度：2014
卷号：5
页码：115-123
DOI：10.2147/AMEP.S62165
出版社：Dove Medical Press Ltd
摘要：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.
关键词：physician education; outcomes measurement; performance improvement; anesthesiology