Meta-Analysis: Audit & Feedback Features Impact Effectiveness on Care Quality Appendix B – Studies Included and Excluded from Meta-Analysis Table of Contents Studies Excluded After Abstract Review ................................................................................................................... 1 Not about feedback as defined in this study ......................................................................................................... 1 Patients, not clinicians, received feedback ........................................................................................................... 22 Not RCT ................................................................................................................................................................... 26 Only student participants ....................................................................................................................................... 27 Feedback unrelated to healthcare .......................................................................................................................... 29 Feedback unrelated to performance ..................................................................................................................... 30 No true control group ............................................................................................................................................. 31 No feedback only condition................................................................................................................................... 32 Feedback is not the intervention ........................................................................................................................... 33 Studies Excluded After Initial Screening .................................................................................................................. 34 No feedback only condition................................................................................................................................... 34 No control group ..................................................................................................................................................... 39 Insufficient information for calculating an effect size ....................................................................................... 42 Insufficient subjects per study arm ....................................................................................................................... 44 No measurable outcome......................................................................................................................................... 46 Articles Included in the Meta-Analysis ..................................................................................................................... 47 Studies Excluded After Abstract Review Not about feedback as defined in this study 1. 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A trend toward improved learning of cardiovascular pathophysiology in medical students from using a human patient simulator: results of a pilot study. Adv Physiol Educ 2007 Dec;31(4):372. 258. Yamakage M, Hayase T, Satoh JI, Namiki A. Work stress in medical anaesthesiology trainees. Eur J Anaesthesiol 2007 Sep;24(9):809-11. 259. Yener G, Aran S, Bahceci M, Ozdemir K, Gultekin F, Lowe W. Quinapril for treatment of hypertension in Turkey: dose titration and diuretic combination treatment strategies. Clin Drug Investig 2007;27(9):613-22. 260. Zemencuk JK, Hofer TP, Hayward RA, Moseley RH, Saint S. What effect does physician "profiling" have on inpatient physician satisfaction and hospital length of stay? BMC Health Services Research 2006 Apr 4;6:45. 261. Zimmerman JE, Kramer AA, McNair DS, Malila FM, Shaffer VL. Intensive care unit length of stay: Benchmarking based on Acute Physiology and Chronic Health Evaluation (APACHE) IV. Critical Care Medicine 2006 Oct;34(10):2517-29 Patients, not clinicians, received feedback 1. Anderson R, Harrison A, Lyons GM. Accelerometry-based feedback--can it improve movement consistency and performance in rowing? Sports Biomechanics / International Society Of Biomechanics In Sports 2005 Jul;4(2):179-95. 2. Aukee P, Immonen P, Laaksonen DE, Laippala P, Penttinen J, Airaksinen O. The effect of home biofeedback training on stress incontinence. Acta Obstetricia Et Gynecologica Scandinavica 2004 Oct;83(10):973-7. 3. Baram Y, Miller A. Auditory feedback control for improvement of gait in patients with Multiple Sclerosis. Journal Of The Neurological Sciences 2007 Mar 15;254(1-2):90-4. 4. Bray S, Shimojo S, O'Doherty JP. Direct instrumental conditioning of neural activity using functional magnetic resonance imaging-derived reward feedback. J Neurosci 2007 Jul 11;27(28):7498-507. 5. Brindle TJ, Nitz AJ, Uhl TL, Kifer E, Shapiro R. Measures of accuracy for active shoulder movements at 3 different speeds with kinesthetic and visual feedback. The Journal Of Orthopaedic And Sports Physical Therapy 2004 Aug;34(8):468-78. 6. Censi F, Calcagnini G, Cerutti S. Proposed corrections for the quantification of coupling patterns by recurrence plots. IEEE Transactions On Bio-Medical Engineering 2004 May;51(5):856-9. 7. Chiviacowsky S, Wulf G. Feedback after good trials enhances learning. Research Quarterly For Exercise And Sport 2007 Mar;78(2):40-7. Meta-Analysis: Audit & Feedback 23 8. Eastep E, Beveridge S, Eisenman P, Ransdell L, Shultz B. Does augmented feedback from pedometers increase adults' walking behavior? Perceptual And Motor Skills 2004 Oct;99(2):392-402. 9. Emmen MJ, Peters E, Elving LD, Bredie SJH, Wollersheim H, Bleijenberg G, et al. A brief behavioral feedback intervention in hospital outpatients with a high cardiovascular risk. Patient Education And Counseling 2006 Jan 4;60(1):32-40. 10. Geisner IM, Neighbors C, Lee CM, Larimer ME. Evaluating personal alcohol feedback as a selective prevention for college students with depressed mood. Addict Behav 2007 Dec;32(12):2776-87. 11. Hanioka T, Ojima M, Hamajima N, Naito M. Patient feedback as a motivating force to quit smoking. Community Dent Oral Epidemiol 2007 Aug;35(4):310-7. 12. Hartmann CW, Sciamanna CN, Blanch DC, Mui S, Lawless H, Manocchia M, et al. A website to improve asthma care by suggesting patient questions for physicians: qualitative analysis of user experiences. J Med Internet Res 2007;9(1):e3. 13. Hinterberger T, Neumann N, Pham M, Kübler A, Grether A, Hofmayer N, et al. A multimodal brain-based feedback and communication system. Experimental Brain Research Experimentelle Hirnforschung Expérimentation Cérébrale 2004 Feb 29;154(4):521-6. 14. Johnson SS, Driskell MM, Johnson JL, Dyment SJ, Prochaska JO, Prochaska JM, et al. Transtheoretical model intervention for adherence to lipid-lowering drugs. Disease Management: DM 2006 Apr;9(2):102-14. 15. Keogh J, Morrison S, Barrett R. Augmented visual feedback increases finger tremor during postural pointing. Experimental Brain Research Experimentelle Hirnforschung Expérimentation Cérébrale 2004 Dec 30;159(4):467-77. 16. Kernozek T, Iwasaki M, Fater D, Durall C, Langenhorst B. Movement-based feedback may reduce spinal moments in male workers during lift and lowering tasks. Physiotherapy Research International: The Journal For Researchers And Clinicians In Physical Therapy 2006 Sep;11(3):140-7. 17. Keuning H, Monné TK, IJsselsteijn WA, Houtsma AJ. The form of augmented forcefeedback fields and the efficiency and satisfaction in computer-aided pointing tasks. Human Factors 2005;47(2):418-29. 18. Ledebt A, Becher J, Kapper J, Rozendaalr RM, Bakker R, Leenders IC, et al. Balance training with visual feedback in children with hemiplegic cerebral palsy: effect on stance and gait. Motor Control 2005 Oct;9(4):459-68. 19. LoPresti EF, Brienza DM. Adaptive software for head-operated computer controls. IEEE Transactions On Neural Systems And Rehabilitation Engineering: A Publication Of The IEEE Engineering In Medicine And Biology Society 2004 Mar;12(1):102-11. Meta-Analysis: Audit & Feedback 24 20. Mahony RT, Malone PA, Nalty J, Behan M, O'connell PR, O'herlihy C. Randomized clinical trial of intra-anal electromyographic biofeedback physiotherapy with intra-anal electromyographic biofeedback augmented with electrical stimulation of the anal sphincter in the early treatment of postpartum fecal incontinence. American Journal Of Obstetrics And Gynecology 2004 Sep;191(3):885-90. 21. Marshall AL. Should all steps count when using a pedometer as a measure of physical activity in older adults? J Phys Act Health 2007 Jul;4(3):305-14. 22. Munro KJ, Lutman ME. The influence of visual feedback on closed-set word test performance over time. International Journal Of Audiology 2005 Dec;44(12):701-5. 23. Patton JL, Mussa-Ivaldi FA. Robot-assisted adaptive training: custom force fields for teaching movement patterns. IEEE Transactions On Bio-Medical Engineering 2004 Apr;51(4):636-46. 24. Sevick MA, Napolitano MA, Papandonatos GD, Gordon AJ, Reiser LM, Marcus BH. Costeffectiveness of alternative approaches for motivating activity in sedentary adults: results of Project STRIDE. Prev Med 2007 Jul;45(1):54-61. 25. Pleger B, Tegenthoff M, Ragert P, Förster AF, Dinse HR, Schwenkreis P, et al. Sensorimotor retuning [corrected] in complex regional pain syndrome parallels pain reduction. Annals Of Neurology 2005 Mar;57(3):425-9. 26. Richardson CR, Brown BB, Foley S, Dial KS, Lowery JC. Feasibility of adding enhanced pedometer feedback to nutritional counseling for weight loss. Journal Of Medical Internet Research 2005 Nov 17;7(5):e56. 27. Rickles NM, Svarstad BL, Statz-Paynter JL, Taylor LV, Kobak KA. Improving patient feedback about and outcomes with antidepressant treatment: a study in eight community pharmacies. Journal Of The American Pharmacists Association: Japha 2006 Jan;46(1):25-32. 28. Riddle CN, Baker SN. Manipulation of peripheral neural feedback loops alters human corticomuscular coherence. The Journal Of Physiology 2005 Jul 15;566(Pt 2):625-39. 29. Reo JA, Mercer VS. Effects of live, videotaped, or written instruction on learning an upperextremity exercise program. Physical Therapy 2004 Jul;84(7):622-33. 30. Schettino LF, Adamovich SV, Hening W, Tunik E, Sage J, Poizner H. Hand preshaping in Parkinson's disease: effects of visual feedback and medication state. Experimental Brain Research Experimentelle Hirnforschung Expérimentation Cérébrale 2006 Jan 22;168(12):186-202. 31. Schmidt U, Landau S, Pombo-Carril MG, Bara-Carril N, Reid Y, Murray K, et al. Does personalized feedback improve the outcome of cognitive-behavioural guided self-care in bulimia nervosa? A preliminary randomized controlled trial. The British Journal Of Clinical Psychology / The British Psychological Society 2006 Mar;45(Pt 1):111-21. Meta-Analysis: Audit & Feedback 25 32. Sihvonen S, Sipilä S, Taskinen S, Era P. Fall incidence in frail older women after individualized visual feedback-based balance training. Gerontology 2004 Nov;50(6):411-6. 33. Slade M, Leese M, Gillard M, Kuipers E, Thornicroft G. Pre-morbid IQ and response to routine outcome assessment. Psychological Medicine 2006 Aug 17;36(8):1183-91. 34. Spittaels H, De Bourdeaudhuij I, Vandelanotte C. Evaluation of a website-delivered computer-tailored intervention for increasing physical activity in the general population. Preventive Medicine 2007 Mar 2;44(3):209-17. 35. Strauman TJ, Woods TE, Schneider KL, Kwapil L, Coe CL. Self-regulatory cognition and immune reactivity: idiographic success and failure feedback effects on the natural killer cell. Brain, Behavior, And Immunity 2004 Nov;18(6):544-54. 36. Swinnen SP, Puttemans V, Lamote S. Procedural memory in Korsakoff's disease under different movement feedback conditions. Behavioural Brain Research 2005 Apr 15;159(1):127-33. 37. Tripp BP, McIlroy WE, Maki BE. Online mutability of step direction during rapid stepping reactions evoked by postural perturbation. IEEE Transactions On Neural Systems And Rehabilitation Engineering: A Publication Of The IEEE Engineering In Medicine And Biology Society 2004 Mar;12(1):140-52. 38. van Leijenhorst L, Crone EA, Bunge SA. Neural correlates of developmental differences in risk estimation and feedback processing. Neuropsychologia 2006 Mar 30;44(11):2158-70. 39. van Meel CS, Oosterlaan J, Heslenfeld DJ, Sergeant JA. Telling good from bad news: ADHD differentially affects processing of positive and negative feedback during guessing. Neuropsychologia 2005;43(13):1946-54. 40. Voerman GE, Sandsjö L, Vollenbroek-Hutten MMR, Groothuis-Oudshoorn CGM, Hermens HJ. The influence of different intermittent myofeedback training schedules on learning relaxation of the trapezius muscle while performing a gross-motor task. European Journal Of Applied Physiology 2004 Oct 1;93(1-2):57-64. 41. Voerman GE, Sandsjö L, Vollenbroek-Hutten MMR, Larsman P, Kadefors R, Hermens HJ. Effects of ambulant myofeedback training and ergonomic counselling in female computer workers with work-related neck-shoulder complaints: a randomized controlled trial. Journal Of Occupational Rehabilitation 2007 Mar;17(1):137-52. 42. Weiskopf N, Mathiak K, Bock SW, Scharnowski F, Veit R, Grodd W, et al. Principles of a brain-computer interface (BCI) based on real-time functional magnetic resonance imaging (fMRI). IEEE Transactions On Bio-Medical Engineering 2004 Jun;51(6):966-70. 43. Wilkin TJ, Mallam KM, Metcalf BS, Jeffery AN, Voss LD. Variation in physical activity lies with the child, not his environment: evidence for an 'activitystat' in young children (EarlyBird 16). International Journal Of Obesity (2005) 2006 Jul;30(7):1050-5. Meta-Analysis: Audit & Feedback 26 44. Winzenberg T, Oldenburg B, Frendin S, De Wit L, Riley M, Jones G. The effect on behavior and bone mineral density of individualized bone mineral density feedback and educational interventions in premenopausal women: a randomized controlled trial [NCT00273260]. BMC Public Health 2006 Jan 23;6:12. 45. Wise JB, Posner AE, Walker GL. Verbal messages strengthen bench press efficacy. Journal Of Strength And Conditioning Research / National Strength & Conditioning Association 2004 Feb;18(1):26-9. 46. Yip SLM, Ng GYF. Biofeedback supplementation to physiotherapy exercise programme for rehabilitation of patellofemoral pain syndrome: a randomized controlled pilot study. Clinical Rehabilitation 2006 Dec;20(12):1050-7. Not RCT 1. Using performance feedback to change provider behavior. Performance Improvement Advisor 2006 May;10(5):58. 2. Chate RAC, White S, Hale LRO, Howat AP, Bottomley J, Barnet-Lamb J, et al. The impact of clinical audit on antibiotic prescribing in general dental practice. Br Dent J 2006 Nov 25;201(10):635-41. 3. Cheater FM, Hearnshaw H, Baker R, Keane M. Can a facilitated programme promote effective multidisciplinary audit in secondary care teams? An exploratory trial. International Journal Of Nursing Studies 2005 Sep;42(7):779-91. 4. Clay AS, Que L, Petrusa ER, Sebastian M, Govert J. Debriefing in the intensive care unit: a feedback tool to facilitate bedside teaching. Critical Care Medicine 2007 Mar;35(3):738-54. 5. Edwards N, Danseco E, Heslin K, Ploeg J, Santos J, Stansfield M, et al. Development and testing of tools to assess physical restraint use. Worldviews On Evidence-Based Nursing / Sigma Theta Tau International, Honor Society Of Nursing 2006;3(2):73-85. 6. Elwyn G, Owen D, Roberts L, Wareham K, Duane P, Allison M, et al. Influencing referral practice using feedback of adherence to NICE guidelines: a quality improvement report for dyspepsia. Quality & Safety In Health Care 2007 Feb;16(1):67-70. 7. Forjuoh SN, Reis MD, Couchman GR, Symm B, Mason S, O'Banon R. Physician response to written feedback on a medication discrepancy found with their elderly ambulatory patients. Journal Of The American Geriatrics Society 2005 Dec;53(12):2173-7. 8. Garbett R, Hardy S, Manley K, Titchen A, McCormack B. Developing a qualitative approach to 360-degree feedback to aid understanding and development of clinical expertise. Journal Of Nursing Management 2007 Apr;15(3):342-7. 9. Kasatpibal N, Jamulitrat S, Chongsuvivatwong V, Nørgaard M, Sørensen HT. Impact of surgeon-specific feedback on surgical site infection rates in Thailand. The Journal Of Hospital Infection 2006 Jun 24;63(2):148-55. Meta-Analysis: Audit & Feedback 27 10. Lee TW, Chan SC, Chua WT, Harbinder K, Khoo YL, Ow Yeang YL, et al. Audit of diabetes mellitus in general practice. The Medical Journal Of Malaysia 2004 Aug;59(3):31722. 11. McMullan RE. An audit of 'early debond' cases in the national outcomes audit of patients treated with upper and lower fixed appliances by Consultant Orthodontists in the UK. Journal Of Orthodontics 2005 Dec;32(4):257. 12. Nicolson S, Pirotta M, Chondros P. Shared maternity care: all care--not enough responsibility? An audit of patient care communications pre- and post- a multi-faceted intervention. The Australian & New Zealand Journal Of Obstetrics & Gynaecology 2005 Dec;45(6):509-13. 13. Parra E, Ramos R, Betriú A, Paniagua J, Belart M, Martín F, et al. [Hemodialysis prospective multicentric quality study]. Nefrología: Publicación Oficial De La Sociedad Española Nefrologia 2006;26(6):688-94. 14. Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Joint Commission Journal On Quality And Patient Safety / Joint Commission Resources 2006 Oct;32(10):564-72. 15. Weightman R, Walton R, Bury J. Audit of bloodborne virus prevention activity with drug users seen in primary care. Communicable Disease And Public Health / PHLS 2004 Dec;7(4):301-5. 16. Wolthuis EK, Korevaar JC, Spronk P, Kuiper MA, Dzoljic M, Vroom MB, et al. Feedback and education improve physician compliance in use of lung-protective mechanical ventilation. Intensive Care Medicine 2005 Apr 25;31(4):540-6. 17. Yeung N, Cohen JD, Botvinick MM. The neural basis of error detection: conflict monitoring and the error-related negativity. Psychological Review 2004 Oct;111(4):931-59. Only student participants 1. Ali J, Adam RU, Sammy I, Ali E, Williams JI. The simulated Trauma Patient Teaching Module--does it improve student performance? J Trauma 2007 Jun;62(6):1416-20. 2. Boehler ML, Rogers DA, Schwind CJ, Mayforth R, Quin J, Williams RG, et al. An investigation of medical student reactions to feedback: a randomised controlled trial. Medical Education 2006 Aug;40(8):746-9. 3. Chernoff RA, Davison GC. An evaluation of a brief HIV/AIDS prevention intervention for college students using normative feedback and goal setting. AIDS Education And Prevention: Official Publication Of The International Society For AIDS Education 2005 Apr;17(2):91-104. Meta-Analysis: Audit & Feedback 28 4. Congedo M, Lubar JF, Joffe D. Low-resolution electromagnetic tomography neurofeedback. IEEE Transactions On Neural Systems And Rehabilitation Engineering: A Publication Of The IEEE Engineering In Medicine And Biology Society 2004 Dec;12(4):387-97. 5. Descarreaux M, Dugas C, Lalanne K, Vincelette M, Normand MC. Learning spinal manipulation: the importance of augmented feedback relating to various kinetic parameters. The Spine Journal: Official Journal Of The North American Spine Society 2006 Mar 30;6(2):138-45. 6. Gofton W, Dubrowski A, Tabloie F, Backstein D. The effect of computer navigation on trainee learning of surgical skills. J Bone Joint Surg Am 2007 Dec;89(12):2819-27. 7. Juárez P, Walters ST, Daugherty M, Radi C. A randomized trial of motivational interviewing and feedback with heavy drinking college students. Journal Of Drug Education 2006;36(3):233-46. 8. Larimer ME, Lee CM, Kilmer JR, Fabiano PM, Stark CB, Geisner IM, et al. Personalized mailed feedback for college drinking prevention: a randomized clinical trial. Journal Of Consulting And Clinical Psychology 2007 Apr;75(2):285-93. 9. Lipkus IM, Prokhorov AV. The effects of providing lung age and respiratory symptoms feedback on community college smokers' perceived smoking-related health risks, worries and desire to quit. Addictive Behaviors 2007 Mar 7;32(3):516-32. 10. Levitsky DA, Garay J, Nausbaum M, Neighbors L, Dellavalle DM. Monitoring weight daily blocks the freshman weight gain: a model for combating the epidemic of obesity. International Journal Of Obesity (2005) 2006 Jun;30(6):1003-10. 11. Lewis MA, Neighbors C. Optimizing personalized normative feedback: the use of genderspecific referents. Journal Of Studies On Alcohol And Drugs 2007 Mar;68(2):228-37. 12. Madan AK, Frantzides CT. Substituting virtual reality trainers for inanimate box trainers does not decrease laparoscopic skills acquisition. JSLS 2007 Jan;11(1):87-9. 13. Murphy JG, Benson TA, Vuchinich RE, Deskins MM, Eakin D, Flood AM, et al. A comparison of personalized feedback for college student drinkers delivered with and without a motivational interview. Journal Of Studies On Alcohol 2004 Mar;65(2):200-3. 14. Neighbors C, Larimer ME, Lewis MA. Targeting misperceptions of descriptive drinking norms: efficacy of a computer-delivered personalized normative feedback intervention. Journal Of Consulting And Clinical Psychology 2004 Jun;72(3):434-47. 15. Neighbors C, Lewis MA, Bergstrom RL, Larimer ME. Being controlled by normative influences: self-determination as a moderator of a normative feedback alcohol intervention. Health Psychology: Official Journal Of The Division Of Health Psychology, American Psychological Association 2006 Sep;25(5):571-9. Meta-Analysis: Audit & Feedback 29 16. Neal DJ, Carey KB. Developing discrepancy within self-regulation theory: use of personalized normative feedback and personal strivings with heavy-drinking college students. Addictive Behaviors 2004 Feb;29(2):281-97. 17. Walters ST, Vader AM, Harris TR. A controlled trial of web-based feedback for heavy drinking college students. Prevention Science: The Official Journal Of The Society For Prevention Research 2007 Mar 29;8(1):83-8. 18. White HR, Morgan TJ, Pugh LA, Celinska K, Labouvie EW, Pandina RJ. Evaluating two brief substance-use interventions for mandated college students. Journal Of Studies On Alcohol 2006 Mar;67(2):309-17. 19. Wierinck E, Puttemans V, Swinnen S, van Steenberghe D. Effect of augmented visual feedback from a virtual reality simulation system on manual dexterity training. European Journal Of Dental Education: Official Journal Of The Association For Dental Education In Europe 2005 Feb;9(1):10-6. 20. Wierinck E, Puttemans V, van Steenberghe D. Effect of tutorial input in addition to augmented feedback on manual dexterity training and its retention. European Journal Of Dental Education: Official Journal Of The Association For Dental Education In Europe 2006 Feb;10(1):24-31. Feedback unrelated to healthcare 1. Butcher Z, Fairclough S, Stratton G, Richardson D. The effect of feedback and information on children's pedometer step counts at school. Pediatr Exerc Sci 2007 Feb;19(1):29-38 2. Cave J, Washer P, Sampson P, Griffin M, Noble L. Explicitly linking teaching and assessment of communication skills. Med Teach 2007 May;29(4):317-22. 3. Chiviacowsky S, Wulf G. Feedback after good trials enhances learning. Res Q Exerc Sport 2007 Mar;78(2):40-7. 4. Chen S, English T, Peng K. Self-verification and contextualized self-views. Personality And Social Psychology Bulletin 2006 Jul;32(7):930-42. 5. Eklöf M, Hagberg M. Are simple feedback interventions involving workplace data associated with better working environment and health? A cluster randomized controlled study among Swedish VDU workers. Applied Ergonomics 2006 Mar 27;37(2):201-10. 6. Goodman JS, Wood RE. Feedback specificity, learning opportunities, and learning. The Journal Of Applied Psychology 2004 Oct;89(5):809-21. 7. Goodman JS, Wood RE, Hendrickx M. Feedback specificity, exploration, and learning. The Journal Of Applied Psychology 2004 Apr;89(2):248-62. 8. Krigolson O, Van Gyn G, Tremblay L, Heath M. Is there "feedback" during visual imagery? Evidence from a specificity of practice paradigm. Canadian Journal Of Experimental Psychology = Revue Canadienne De Psychologie Expérimentale 2006 Mar;60(1):24-32. Meta-Analysis: Audit & Feedback 30 9. LaBrie JW, Hummer JF, Neighbors C, Pedersen ER. Live interactive group-specific normative feedback reduces misperceptions and drinking in college students: a randomized cluster trial. Psychol Addict Behav 2008 Mar;22(1):141-8. 10. Larimer ME, Lee CM, Kilmer JR, Fabiano PM, Stark CB, Geisner IM, et al. Personalized mailed feedback for college drinking prevention: a randomized clinical trial. J Consult Clin Psychol 2007 Apr;75(2):285-93. 11. Madan AK, Frantzides CT. Substituting virtual reality trainers for inanimate box trainers does not decrease laparoscopic skills acquisition. JSLS 2007 Jan;11(1):87-9. 12. Semmler C, Brewer N, Wells GL. Effects of postidentification feedback on eyewitness identification and nonidentification confidence. The Journal Of Applied Psychology 2004 Apr;89(2):334-46. 13. Silvera DH, Neilands T. Interpreting the uninterpretable: The effect of self-esteem on the interpretation of meaningless feedback. Scandinavian Journal Of Psychology 2004 Feb;45(1):61-6. 14. te Velde AF, van der Kamp J, Barela JA, Savelsbergh GJP. Visual timing and adaptive behavior in a road-crossing simulation study. Accident; Analysis And Prevention 2005 May 15;37(3):399-406. 15. White HR, Mun EY, Morgan TJ. Do brief personalized feedback interventions work for mandated students or is it just getting caught that works? Psychol Addict Behav 2008 Mar;22(1):107-16. 16. White HR, Mun EY, Pugh L, Morgan TJ. Long-term effects of brief substance use interventions for mandated college students: sleeper effects of an in-person personal feedback intervention. Alcohol Clin Exp Res 2007 Aug;31(8):1380-91. 17. Yeung N, Holroyd CB, Cohen JD. ERP correlates of feedback and reward processing in the presence and absence of response choice. Cerebral Cortex (New York, N Y : 1991) 2005 May 18;15(5):535-44. Feedback unrelated to performance 1. Backstein D, Agnidis Z, Regehr G, Reznick R. The effectiveness of video feedback in the acquisition of orthopedic technical skills. American Journal Of Surgery 2004 Mar;187(3):42732. 2. Eklöf M, Hagberg M, Toomingas A, Tornqvist EW. Feedback of workplace data to individual workers, workgroups or supervisors as a way to stimulate working environment activity: a cluster randomized controlled study. International Archives Of Occupational And Environmental Health 2004 Oct 28;77(7):505-14. 3. Fletcher KE, Stern DT, White C, Gruppen LD, Oh MS, Cimmino VM. The physical examination of patients with abdominal pain: the long-term effect of adding standardized Meta-Analysis: Audit & Feedback 31 patients and small-group feedback to a lecture presentation. Teaching And Learning In Medicine 2004;16(2):171-4. 4. Fu CHY, Vythelingum GN, Brammer MJ, Williams SCR, Amaro E, Jr., Andrew CM, et al. An fMRI study of verbal self-monitoring: neural correlates of auditory verbal feedback. Cerebral Cortex (New York, N Y : 1991) 2006 Jul 29;16(7):969-77. 5. Mahmood T, Darzi A. The learning curve for a colonoscopy simulator in the absence of any feedback: no feedback, no learning. Surgical Endoscopy 2004 Aug 23;18(8):1224-30. 6. Van Sickle KR, Gallagher AG, Smith CD. The effect of escalating feedback on the acquisition of psychomotor skills for laparoscopy. Surgical Endoscopy 2007 Feb 2;21(2):2204. 7. Wierinck E, Puttemans V, van Steenberghe D. Effect of reducing frequency of augmented feedback on manual dexterity training and its retention. Journal Of Dentistry 2006 Oct 18;34(9):641-7. 8. Williams W, Purdy SC, Murray N, Dillon H, Lepage E, Challinor K, et al. Does the presentation of audiometric test data have a positive effect on the perceptions of workplace noise and noise exposure avoidance? Noise & Health 2004 Jul;6(24):75-84. No true control group 1. Abella BS, Edelson DP, Kim S, Retzer E, Myklebust H, Barry AM, et al. CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system. Resuscitation 2007 Apr 26;73(1):54-61. 2. Beck CA, Richard H, Tu JV, Pilote L. Administrative Data Feedback for Effective Cardiac Treatment: AFFECT, a cluster randomized trial. JAMA: The Journal Of The American Medical Association 2005 Jul 20;294(3):309-17. 3. Herrin J, Cangialose CB, Nicewander D, Ballard DJ. Cost and effects of performance feedback and nurse case management for medicare beneficiaries with diabetes: a randomized controlled trial. Dis Manag 2007 Dec;10(6):328-36. 4. Madridejos-Mora R, mado-Guirado E, Pérez-Rodríguez MT. Effectiveness of the combination of feedback and educational recommendations for improving drug prescription in general practice. Medical Care 2004 Jul;42(7):643-8. 5. McClellan WM, Hodgin E, Pastan S, McAdams L, Soucie M. A randomized evaluation of two health care quality improvement program (HCQIP) interventions to improve the adequacy of hemodialysis care of ESRD patients: feedback alone versus intensive intervention. Journal Of The American Society Of Nephrology: JASN 2004 Mar;15(3):75460. Meta-Analysis: Audit & Feedback 32 6. Monti PM, Barnett NP, Colby SM, Gwaltney CJ, Spirito A, Rohsenow DJ, et al. Motivational interviewing versus feedback only in emergency care for young adult problem drinking. Addiction 2007 Aug;102(8):1234-43. 7. Naughton C, Feely J, Bennett K. A clustered randomized trial of the effects of feedback using academic detailing compared to postal bulletin on prescribing of preventative cardiovascular therapy. Fam Pract 2007 Oct;24(5):475-80. 8. Pit SW, Byles JE, Henry DA, Holt L, Hansen V, Bowman DA. A Quality Use of Medicines program for general practitioners and older people: a cluster randomised controlled trial. Med J Aust 2007 Jul 2;187(1):23-30. 9. Wadland WC, Holtrop JS, Weismantel D, Pathak PK, Fadel H, Powell J. Practice-based referrals to a tobacco cessation quit line: assessing the impact of comparative feedback vs general reminders. Annals Of Family Medicine 2007 Mar;5(2):135-42. No feedback only condition 1. Bunting PS, Van Walraven C. Effect of a controlled feedback intervention on laboratory test ordering by community physicians. Clinical Chemistry 2004 Feb 18;50(2):321-6. 2. Chossis I, Lane C, Gache P, Michaud PA, Pecoud A, Rollnick S, et al. Effect of training on primary care residents' performance in brief alcohol intervention: a randomized controlled trial. J Gen Intern Med 2007 Aug;22(8):1144-9. 3. Colon-Emeric CS, Lyles KW, House P, Levine DA, Schenck AP, Allison J, et al. Randomized trial to improve fracture prevention in nursing home residents. Am J Med 2007 Oct;120(10):886-92. 4. Foster JM, Hoskins G, Smith B, Lee AJ, Price D, Pinnock H. Practice development plans to improve the primary care management of acute asthma: randomised controlled trial. BMC Fam Pract 2007;8:23. 5. Houston TK, Wall T, Allison JJ, Palonen K, Willett LL, Keife CI, et al. Implementing achievable benchmarks in preventive health: a controlled trial in residency education. Academic Medicine: Journal Of The Association Of American Medical Colleges 2006 Jul;81(7):608-16. 6. Johnston CC, Gagnon A, Rennick J, Rosmus C, Patenaude H, Ellis J, et al. One-on-one coaching to improve pain assessment and management practices of pediatric nurses. J Pediatr Nurs 2007 Dec;22(6):467-78. 7. Lafata JE, Gunter MJ, Hsu J, Kaatz S, Krajenta R, Platt R, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care 2007 Oct;45(10):966-72. Meta-Analysis: Audit & Feedback 33 8. Pit SW, Byles JE, Henry DA, Holt L, Hansen V, Bowman DA. A Quality Use of Medicines program for general practitioners and older people: a cluster randomised controlled trial. Med J Aust 2007 Jul 2;187(1):23-30. 9. Shuval K, Berkovits E, Netzer D, Hekselman I, Linn S, Brezis M, et al. Evaluating the impact of an evidence-based medicine educational intervention on primary care doctors' attitudes, knowledge and clinical behaviour: a controlled trial and before and after study. J Eval Clin Pract 2007 Aug;13(4):581-98. 10. Simunovic M, Goldsmith C, Thabane L, McLeod R, Denardi F, Whelan TJ, et al. The Quality Initiative in Rectal Cancer (QIRC) trial: study protocol of a cluster randomized controlled trial in surgery. BMC Surg 2008;8:4. 11. Stewart M, Brown JB, Hammerton J, Donner A, Gavin A, Holliday RL, et al. Improving communication between doctors and breast cancer patients. Ann Fam Med 2007 Sep;5(5):387-94. 12. Thomas KG, Thomas MR, Stroebel RJ, McDonald FS, Hanson GJ, Naessens JM, et al. Use of a registry-generated audit, feedback, and patient reminder intervention in an internal medicine resident clinic--a randomized trial. J Gen Intern Med 2007 Dec;22(12):1740-4. 13. Wolthuis EK, Kesecioglu J, Hassink LH, Determann RM, Korevaar JC, Schultz MJ. Adoption of lower tidal volume ventilation improves with feedback and education. Respir Care 2007 Dec;52(12):1761-6. Feedback is not the intervention 1. Okiishi JC, Lambert MJ, Eggett D, Nielsen L, Dayton DD, Vermeersch DA. An analysis of therapist treatment effects: toward providing feedback to individual therapists on their clients' psychotherapy outcome. Journal Of Clinical Psychology 2006 Sep;62(9):1157-72. 2. Schneider A, Wensing M, Biessecker K, Quinzler R, Kaufmann-Kolle P, Szecsenyi J. Impact of quality circles for improvement of asthma care: results of a randomized controlled trial. J Eval Clin Pract 2008 Apr;14(2):185-90. No abstract 1. Martin WE, Miller SC, Welch LC, Burrill J. Improving access to hospice: the Physician Feedback and Reminders to Improve Access to Hospice (PFRIAH) study. Med Health R I 2007 Dec;90(12):388-90. Qualitative data only 1. Hartmann CW, Sciamanna CN, Blanch DC, Mui S, Lawless H, Manocchia M, et al. A website to improve asthma care by suggesting patient questions for physicians: qualitative analysis of user experiences. J Med Internet Res 2007;9(1):e3. Meta-Analysis: Audit & Feedback 34 Studies Excluded After Initial Screening No feedback only condition 1. Anderson FA, Jr., Wheeler HB, Goldberg RJ, Hosmer DW, Forcier A, Patwardhan NA. Changing clinical practice. Prospective study of the impact of continuing medical education and quality assurance programs on use of prophylaxis for venous thromboembolism. Archives of Internal Medicine 154(6):669-77, 1994 Mar 28. 2. Bahrami M, Deery C, Clarkson JE, Pitts NB, Johnston M, Ricketts I, et al. 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Zwar N, Wolk J, Gordon J, Sanson-Fisher R, Kehoe L. Influencing antibiotic prescribing in general practice: a trial of prescriber feedback and management guidelines. Fam Pract 1999 Oct;16(5):495-500. Insufficient information for calculating an effect size 1. Balas EA, Boren SA, Hicks LL, Chonko AM, Stephenson K. Effect of linking practice data to published evidence. A randomized controlled trial of clinical direct reports. Med Care 1998 Jan;36(1):79-87. 2. Boekeloo BO, Becker DM, Levine DM, Belitsos PC, Pearson TA. Strategies for increasing house staff management of cholesterol with inpatients. American Journal Of Preventive Medicine 1990;6(2 Suppl):51-9. 3. Brodey BB, Cuffel B, McCulloch J, Tani S, Maruish M, Brodey I, et al. The acceptability and effectiveness of patient-reported assessments and feedback in a managed behavioral healthcare setting. The American Journal Of Managed Care 2005 Dec;11(12):774-80. 4. Buntinx F, Knottnerus JA, Crebolder HF, Essed GG. Reactions of doctors to various forms of feedback designed to improve the sampling quality of cervical smears. Quality Assurance In Health Care: The Official Journal Of The International Society For Quality Assurance In Health Care / ISQA 1992 Jun;4(2):161-6. 5. Fairbrother G, Hanson KL, Friedman S, Butts GC. The impact of physician bonuses, enhanced fees, and feedback on childhood immunization coverage rates. Am J Public Health 1999 Feb;89(2):171-5. 6. Fallowfield L, Jenkins V, Farewell V, Saul J, Duffy A, Eves R. Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial. Lancet 2002 Feb 23;359(9307):650-6. 7. Gehlbach SH, Wilkinson WE, Hammond WE, Clapp NE, Finn AL, Taylor WJ, et al. Improving drug prescribing in a primary care practice. Medical Care 1984 Mar;22(3):193-201. 8. Hemminki E, Teperi J, Tuominen K. Need for and influence of feedback from the Finnish birth register to data providers. Quality Assurance In Health Care: The Official Journal Of The International Society For Quality Assurance In Health Care / ISQA 1992 Jun;4(2):1339. Meta-Analysis: Audit & Feedback 43 9. Jones HE, Cleave B, Zinman B, Szalai JP, Nichol HL, Hoffman BR. Efficacy of feedback from quarterly laboratory comparison in maintaining quality of a hospital capillary blood glucose monitoring program. Diabetes Care 1996 Feb;19(2):168-70. 10. Kafuko JM. Rational drug use in rural health units of Uganda: Effect of national standard treatment guidelines on rational drug use. 1999. 11. Kattan M, Crain EF, Steinbach S, Visness CM, Walter M, Stout JW, et al. A randomized clinical trial of clinician feedback to improve quality of care for inner-city children with asthma. Pediatrics 2006 Jun;117(6):e1095-e1103. 12. Leviton LC, Goldenberg RL, Baker CS, Schwartz RM, Freda MC, Fish LJ, et al. Methods to encourage the use of antenatal corticosteroid therapy for fetal maturation: a randomized controlled trial. JAMA 1999 Jan 6;281(1):46-52. 13. Lobach DF. Electronically distributed, computer-generated, individualized feedback enhances the use of a computerized practice guideline. Proceedings: A Conference Of The American Medical Informatics Association / AMIA Annual Fall Symposium AMIA Fall Symposium 1996;493-7. 14. Lomas J. Making clinical policy explicit. Legislative policy making and lessons for developing practice guidelines. Int J Technol Assess Health Care 1993;9(1):11-25. 15. Meyer TJ, Van KD, Marsh S, Prochazka AV. Reduction of polypharmacy by feedback to clinicians. J Gen Intern Med 1991 Mar;6(2):133-6. 16. Mitchell E, Sullivan F, Grimshaw JM, Donnan PT, Watt G. Improving management of hypertension in general practice: a randomised controlled trial of feedback derived from electronic patient data. The British Journal Of General Practice: The Journal Of The Royal College Of General Practitioners 2005 Feb;55(511):94-101. 17. Nilsson G, Hjemdahl P, Hassler A, Vitols S, Wallen NH, Krakau I. Feedback on prescribing rate combined with problem-oriented pharmacotherapy education as a model to improve prescribing behaviour among general practitioners. Eur J Clin Pharmacol 2001 Jan;56(11):843-8. 18. O'Connell DL, Henry D, Tomlins R. Randomised controlled trial of effect of feedback on general practitioners' prescribing in Australia. BMJ 1999 Feb 20;318(7182):507-11. 19. Quinley JC, Shih A. Improving physician coverage of pneumococcal vaccine: a randomized trial of a telephone intervention. J Community Health 2004 Apr;29(2):103-15. 20. Roski J. Changing practice patterns as a result of implementing the Agency for Health Care Policy and Research guideline in 20 primary care clinics. Tob Control 1998;7 Suppl:S19-S20. 21. Rust CT, Sisk FA, Kuo AR, Smith J, Miller R, Sullivan KM. Impact of resident feedback on immunization outcomes. Arch Pediatr Adolesc Med 1999 Nov;153(11):1165-9. Meta-Analysis: Audit & Feedback 44 22. Sanazaro PJ, Worth RM. Concurrent quality assurance in hospital care. Report of a study by Private Initiative in PSRO. N Engl J Med 1978 May 25;298(21):1171-7. 23. Sandbaek A, Kragstrup J. Randomized controlled trial of the effect of medical audit on AIDS prevention in general practice. Fam Pract 1999 Oct;16(5):510-4. 24. Sauaia A, Ralston D, Schluter WW, Marciniak TA, Havranek EP, Dunn TR. Influencing care in acute myocardial infarction: a randomized trial comparing 2 types of intervention. Am J Med Qual 2000 Sep;15(5):197-206. 25. Smith DH, Christensen DB, Stergachis A, Holmes G. A randomized controlled trial of a drug use review intervention for sedative hypnotic medications. Med Care 1998 Jul;36(7):1013-21. 26. Solomon DH, Katz JN, La Tourette AM, Coblyn JS. Multifaceted intervention to improve rheumatologists' management of glucocorticoid-induced osteoporosis: a randomized controlled trial. Arthritis Rheum 2004 Jun 15;51(3):383-7. 27. Steele MA, Bess DT, Franse VL, Graber SE. Cost effectiveness of two interventions for reducing outpatient prescribing costs. DICP 1989 Jun;23(6):497-500. 28. Thompson RS, Rivara FP, Thompson DC, Barlow WE, Sugg NK, Maiuro RD, et al. Identification and management of domestic violence: a randomized trial. Am J Prev Med 2000 Nov;19(4):253-63. 29. Veninga CC, Lagerlov P, Wahlstrom R, Muskova M, Denig P, Berkhof J, et al. Evaluating an educational intervention to improve the treatment of asthma in four European countries. Drug Education Project Group. Am J Respir Crit Care Med 1999 Oct;160(4):1254-62. Insufficient subjects per study arm 1. Anderson FA, Jr., Wheeler HB, Goldberg RJ, Hosmer DW, Forcier A, Patwardhan NA. Changing clinical practice. Prospective study of the impact of continuing medical education and quality assurance programs on use of prophylaxis for venous thromboembolism. Archives of Internal Medicine 154(6):669-77, 1994 Mar 28. 2. Baker R, Farooqi A, Tait C, Walsh S. Randomised controlled trial of reminders to enhance the impact of audit in general practice on management of patients who use benzodiazepines. Quality In Health Care: QHC 1997 Mar;6(1):14-8. 3. Balas EA, Boren SA, Hicks LL, Chonko AM, Stephenson K. Effect of linking practice data to published evidence. A randomized controlled trial of clinical direct reports. Med Care 1998 Jan;36(1):79-87. 4. Boekeloo BO, Becker DM, Levine DM, Belitsos PC, Pearson TA. Strategies for increasing house staff management of cholesterol with inpatients. American Journal Of Preventive Medicine 1990;6(2 Suppl):51-9. Meta-Analysis: Audit & Feedback 45 5. Cohen DI, Jones P, Littenberg B, Neuhauser D. Does cost information availability reduce physician test usage? A randomized clinical trial with unexpected findings. Medical Care 1982 Mar;20(3):286-92. 6. De Almeida Neto AC, Kavanagh DJ, Boakes RA. A pharmacy based protocol and training program for non-prescription analgesics. Journal of Social and Administrative Pharmacy 2000 Feb 9;17(3):183-92. 7. Dickinson JC, Warshaw GA, Gehlbach SH, Bobula JA, Muhlbaier LH, Parkerson GR, Jr. Improving hypertension control: impact of computer feedback and physician education. Medical Care 1981 Aug;19(8):843-54. 8. Everett GD, deBlois CS, Chang PF, Holets T. Effect of cost education, cost audits, and faculty chart review on the use of laboratory services. Archives Of Internal Medicine 1983 May;143(5):942-4. 9. Gama R, Nightingale PG, Broughton PM, Peters M, Bradby GV, Berg J, et al. Feedback of laboratory usage and cost data to clinicians: does it alter requesting behaviour? Annals Of Clinical Biochemistry 1991 Mar;28 ( Pt 2):143-9. 10. Hendryx MS, Fieselmann JF, Bock MJ, Wakefield DS, Helms CM, Bentler SE. Outreach education to improve quality of rural ICU care. Results of a randomized trial. Am J Respir Crit Care Med 1998 Aug;158(2):418-23. 11. Howe A. Detecting psychological distress: can general practitioners improve their own performance? The British Journal Of General Practice: The Journal Of The Royal College Of General Practitioners 1996 Jul;46(408):407-10. 12. Kafuko JM. Rational drug use in rural health units of Uganda: Effect of national standard treatment guidelines on rational drug use. 1999. 13. Katz DA, Muehlenbruch DR, Brown RL, Fiore MC, Baker TB. Effectiveness of implementing the agency for healthcare research and quality smoking cessation clinical practice guideline: a randomized, controlled trial. J Natl Cancer Inst 2004 Apr 21;96(8):594603. 14. Lobach DF. Electronically distributed, computer-generated, individualized feedback enhances the use of a computerized practice guideline. Proceedings: A Conference Of The American Medical Informatics Association / AMIA Annual Fall Symposium AMIA Fall Symposium 1996;493-7. 15. Lomas J. Making clinical policy explicit. Legislative policy making and lessons for developing practice guidelines. Int J Technol Assess Health Care 1993;9(1):11-25. 16. Lundborg CS, Wahlstrom R, Oke T, Tomson G, Diwan VK. Influencing prescribing for urinary tract infection and asthma in primary care in Sweden: a randomized controlled trial of an interactive educational intervention. J Clin Epidemiol 1999 Aug;52(8):801-12. Meta-Analysis: Audit & Feedback 46 17. Martin AR, Wolf MA, Thibodeau LA, Dzau V, Braunwald E. A trial of two strategies to modify the test-ordering behavior of medical residents. N Engl J Med 1980 Dec 4;303(23):1330-6. 18. Mayefsky JH, Foye HR. Use of a chart audit: teaching well child care to paediatric house officers. Med Educ 1993 Mar;27(2):170-4. 19. Norton PG, Dempsey LJ. Self-audit: its effect on quality of care. J Fam Pract 1985 Oct;21(4):289-91. 20. Palmer RH, Louis TA, Hsu LN, Peterson HF, Rothrock JK, Strain R, et al. A randomized controlled trial of quality assurance in sixteen ambulatory care practices. Med Care 1985 Jun;23(6):751-70. 21. Reid RA, Lantz KH. Physician profiles in training the graduate internist. J Med Educ 1977 Apr;52(4):301-7. 22. Sauaia A, Ralston D, Schluter WW, Marciniak TA, Havranek EP, Dunn TR. Influencing care in acute myocardial infarction: a randomized trial comparing 2 types of intervention. Am J Med Qual 2000 Sep;15(5):197-206. 23. Sinclair C, Frankel M. The effect of quality assurance activities on the quality of mental health services. QRB Quality Review Bulletin 1982 Jul;8(7):7-15. 24. Thompson RS, Rivara FP, Thompson DC, Barlow WE, Sugg NK, Maiuro RD, et al. Identification and management of domestic violence: a randomized trial. Am J Prev Med 2000 Nov;19(4):253-63. 25. Winickoff RN, Coltin KL, Morgan MM, Buxbaum RC, Barnett GO. Improving physician performance through peer comparison feedback. Med Care 1984 Jun;22(6):527-34. 26. Wones RG. Failure of low-cost audits with feedback to reduce laboratory test utilization. Med Care 1987 Jan;25(1):78-82. No measurable outcome 1. Lomas J. Making clinical policy explicit. Legislative policy making and lessons for developing practice guidelines. Int J Technol Assess Health Care 1993;9(1):11-25. 2. Sauaia A, Ralston D, Schluter WW, Marciniak TA, Havranek EP, Dunn TR. Influencing care in acute myocardial infarction: a randomized trial comparing 2 types of intervention. Am J Med Qual 2000 Sep;15(5):197-206. 3. Simon GE, VonKorff M, Rutter C, Wagner E. Randomised trial of monitoring, feedback, and management of care by telephone to improve treatment of depression in primary care. BMJ 2000 Feb 26;320(7234):550-4. Meta-Analysis: Audit & Feedback 47 4. Sondergaard J, Andersen M, Stovring H, Kragstrup J. Mailed prescriber feedback in addition to a clinical guideline has no impact: a randomised, controlled trial. Scand J Prim Health Care 2003 Mar;21(1):47-51. 5. Thompson RS, Rivara FP, Thompson DC, Barlow WE, Sugg NK, Maiuro RD, et al. Identification and management of domestic violence: a randomized trial. Am J Prev Med 2000 Nov;19(4):253-63. Articles Included in the Meta-Analysis 1. Anderson JF, McEwan KL, Hrudey WP. Effectiveness of notification and group education in modifying prescribing of regulated analgesics. CMAJ 1996 Jan 1;154(1):31-9. 2. Bentz CJ, Bayley KB, Bonin KE, Fleming L, Hollis JF, Hunt JS, et al. Provider feedback to improve 5A's tobacco cessation in primary care: a cluster randomized clinical trial. Nicotine & Tobacco Research: Official Journal Of The Society For Research On Nicotine And Tobacco 2007 Mar;9(3):341-9. 3. Berman MF, Simon AE. The effect of a drug and supply cost feedback system on the use of intraoperative resources by anesthesiologists. Anesth Analg 1998 Mar;86(3):510-5. 4. Bonevski B, Sanson-Fisher RW, Campbell E, Carruthers A, Reid AL, Ireland M. Randomized controlled trial of a computer strategy to increase general practitioner preventive care. Prev Med 1999 Dec;29(6 Pt 1):478-86. 5. Eccles M, Steen N, Grimshaw J, Thomas L, McNamee P, Soutter J, et al. Effect of audit and feedback, and reminder messages on primary-care radiology referrals: a randomised trial. Lancet 2001 May 5;357(9266):1406-9. 6. Everett GD, deBlois CS, Chang PF, Holets T. Effect of cost education, cost audits, and faculty chart review on the use of laboratory services. Archives Of Internal Medicine 1983 May;143(5):942-4. 7. Fihn SD, McDonell MB, Diehr P, Anderson SM, Bradley KA, Au DH, et al. Effects of sustained audit/feedback on self-reported health status of primary care patients. The American Journal Of Medicine 2004 Feb 15;116(4):241-8. 8. Heller RF, D'Este C, Lim LL, O'Connell RL, Powell H. Randomised controlled trial to change the hospital management of unstable angina. The Medical Journal Of Australia 2001 Mar 5;174(5):217-21. 9. Hershey CO, Porter DK, Breslau D, Cohen DI. Influence of simple computerized feedback on prescription charges in an ambulatory clinic. A randomized clinical trial. Med Care 1986 Jun;24(6):472-81. 10. Kogan JR, Reynolds EE, Shea JA. Effectiveness of report cards based on chart audits of residents' adherence to practice guidelines on practice performance: a randomized controlled trial. Teach Learn Med 2003;15(1):25-30. Meta-Analysis: Audit & Feedback 48 11. Lomas J, Enkin M, Anderson GM, Hannah WJ, Vayda E, Singer J. Opinion leaders vs audit and feedback to implement practice guidelines. Delivery after previous cesarean section. JAMA 1991 May 1;265(17):2202-7. 12. Mainous AG, III, Hueston WJ, Love MM, Evans ME, Finger R. An evaluation of statewide strategies to reduce antibiotic overuse. Fam Med 2000 Jan;32(1):22-9. 13. Marton KI, Tul V, Sox HC, Jr. Modifying test-ordering behavior in the outpatient medical clinic. A controlled trial of two educational interventions. Arch Intern Med 1985 May;145(5):816-21. 14. Meyer TJ, Van KD, Marsh S, Prochazka AV. Reduction of polypharmacy by feedback to clinicians. J Gen Intern Med 1991 Mar;6(2):133-6. 15. Raasch BA, Hays R, Buettner PG. An educational intervention to improve diagnosis and management of suspicious skin lesions. J Contin Educ Health Prof 2000;20(1):39-51. 16. Robling MR, Houston HL, Kinnersley P, Hourihan MD, Cohen DR, Hale J, et al. General practitioners' use of magnetic resonance imaging: an open randomized trial comparing telephone and written requests and an open randomized controlled trial of different methods of local guideline dissemination. Clin Radiol 2002 May;57(5):402-7. 17. Schectman JM, Kanwal NK, Schroth WS, Elinsky EG. The effect of an education and feedback intervention on group-model and network-model health maintenance organization physician prescribing behavior. Med Care 1995 Feb;33(2):139-44. 18. Socolar RR, Raines B, Chen-Mok M, Runyan DK, Green C, Paterno S. Intervention to improve physician documentation and knowledge of child sexual abuse: a randomized, controlled trial. Pediatrics 1998 May;101(5):817-24. 19. Sommers LS, Sholtz R, Shepherd RM, Starkweather DB. Physician involvement in quality assurance. Med Care 1984 Dec;22(12):1115-38. 20. Wahlstrom R, Kounnavong S, Sisounthone B, Phanyanouvong A, Southammavong T, Eriksson B, et al. Effectiveness of feedback for improving case management of malaria, diarrhoea and pneumonia--a randomized controlled trial at provincial hospitals in Lao PDR. Trop Med Int Health 2003 Oct;8(10):901-9.