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Previous studies evaluating the effects of audit and feedback on professional practice and health care outcomes showed variable results (25 26).
27 30 Reviews indicate that factors underlying the varying effects of audit and feedback, and how the technique might be tailored to different settings, require further exploration.
A recent Cochrane review on the effects of audit and feedback within professional practice and the consequent results to healthcare concluded that this procedure might be effective.
For example, a review of the effects of audit and feedback on the practice of healthcare providers showed that compliance with desired practice ranged from a decrease of 16% to an increase of 70%, with a median of 5%.
Simon Cohn's paper focuses on the concept of 'trust' in healthcare, which has received renewed attention as a possible counter-balance to the dehumanising effects of audit and market based processes for quality assurance.
In an extensive review, Jamtvedt et al. [ 41] concluded that audit and feedback may be effective in improving professional medical practice, although the effects are generally moderate, and that absolute effects of audit and feedback are more likely to be larger when baseline adherence to recommended practice is low.
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audit function, including auditor decision-making and the effects of auditing on financial reporting.
Therefore, our study aims to evaluate the effects of auditing on patient safety outcomes and the performance of healthcare providers.
Ideally, the evaluation of the effects of auditing on hospital care should be studied in a large, multicentre trial with randomisation of hospitals with and without internal auditing [ 46, 47].
We therefore decided to limit the evaluation of the effects of auditing on patient outcomes and professional practice to the one hospital that the other Dutch university hospitals regard as having the best practice for internal auditing [ 48].
A review on the effects of auditing and feedback in professional practice and healthcare results concluded that they can be effective, and that their effect is stronger when initial adhesion to good practice is low [ 20].
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