Keywords

Head-to-head trials investigating ways to optimize audit and feedback impact are lacking but feasible within organizations already delivering feedbackThis head-to-head trial was unable to fully determine the effect of theory- and evidence-based variations in (i) the benchmark used for comparison (median vs. top quartile) and (ii) information framing (risk vs. benefit-framing), due to a lack of physician engagementThe process evaluation indicated that emphasizing the risk of patient harms and using a benchmark more closely aligned with high-quality care is worth further exploration in contexts with high physician engagementThis work demonstrates a successful partnership between researchers and health system stakeholders already delivering feedback at scale