Otto Rohwedder Thanks to Paul Lord for this one…

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Presentation transcript:

Otto Rohwedder Thanks to Paul Lord for this one… Who is this? Otto Rohwedder. Okay, what is this? Bread slicing machine. Otto came up with the idea for a bread slicing machine in 1912. This is now considered the benchmark innovation in modern history, that thing against which all other ideas are measured.

How long did it take for sliced bread to take off? One year Five years Fifteen years Fifty years

To AFFINITIE and beyond… Robbie Foy November 2017

To AFFINITIE and beyond… Past Present Future

Audit and feedback 140 trials of audit and feedback median absolute improvement +4% interquartile range +1% to +16% Ivers et al. Cochrane Database of Systematic Reviews 2012 Anyone do this? It works a bit – but what makes it work better?

Audit and feedback 140 trials of audit and feedback median absolute improvement +4% interquartile range +1% to +16% Larger effects if: Baseline compliance low Source a supervisor or colleague Feedback provided more than once Feedback delivered in both verbal and written formats Feedback included both explicit targets and an action plan Ivers et al. Cochrane Database of Systematic Reviews 2012 Anyone do this? It works a bit – but what makes it work better?

Suggestions for optimising the effectiveness of A&F

Suggestions for optimising the effectiveness of A&F Nature of the desired action Recommend actions that are consistent with established goals and priorities Recommend specific actions Recommend actions that can improve and are under the recipient's control

Suggestions for optimising the effectiveness of A&F Nature of the data available for feedback Provide multiple instances of feedback Provide feedback as soon as possible and at a frequency informed by the number of new patient cases Provide individual (e.g. practitioner specific) rather than general data Choose comparators that reinforce desired behaviour change

Suggestions for optimising the effectiveness of A&F Feedback display Closely link the visual display and summary message Provide feedback in more than one way Minimize extraneous cognitive load for feedback recipients

Suggestions for optimising the effectiveness of A&F Delivering the feedback intervention Address barriers to feedback use Provide short, actionable messages followed by optional detail Address credibility of the information Prevent defensive reactions to feedback Construct feedback through social interaction