Further research is needed to examine the effect of the training on longer term in-practice performance and, importantly, the ability to achieve positive outcomes for patients.
It is unknown if the improvements in competence demonstrated in our study translate to in-practice performance, or indeed to improvements in patient outcomes, and these will be important research questions for future studies.
Early Warning Systems in Practice: Performance of the SAFE System in the Field.
Jones' research focuses on knowledge and rationality in practice, performance, and interaction.
Graham Jones is a cultural and linguistic anthropologist who explores how people use language and other media to enact expertise in practice, performance, and interaction.
Our findings might have been different in previous years, especially given the greater variation in practice performance in the early years of the incentivisation scheme.
Under the UK's pay-for-performance scheme, differences in practice performance were associated with the choice of clinical computing system.
These differences are not negligible, especially in light of the small overall variation in practice performance and further convergence in performance over time, 23 36 and the diminishing variation in recorded care between population groups.
Variation in practice performance is also substantial for most intermediate outcomes indicators (for example, the interquartile range for HbA1c≤7.5% was 57.3% to 68.2% in 2011-12), and we would therefore expect to detect associations between performance on these indicators and mortality.
We included studies only if they reported objectively measured health professional (in practice) performance outcomes (e.g. clinical assessment/diagnosis, recognition and management/referral of seriously ill newborn/child, prescribing practices).
