Channelling the force of audit and feedback: averting the dark side

Eilidh Duncan, Noah Michael Ivers, J. M. Grimshaw* (Corresponding Author)

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Audit and feedback is a strategy used to
improve healthcare delivery and promotethe implementation of evidence-basedpractice.1 A recipient, at individual, team or unit level, is provided with summary data of their performance over a specified period of time to act as a stimulus for behaviour change and quality improvement. Audit and feedback is used across clinical conditions and settings around the world. When used correctly, it is effective, scalable and relatively inexpensive.1 However, every healthcare improvement strategy has the potential to have a ‘dark side’2; the potential for adverse effects to arise from providing audit and feedback warrants careful consideration. How can we ensure that audit and feedback initiatives will lead to more benefits than harms?
Original languageEnglish
Number of pages3
JournalBMJ Quality & Safety
Early online date29 Mar 2022
Publication statusE-pub ahead of print - 29 Mar 2022


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