Strengths and limitations
This trial demonstrates a successful partnership between researchers and health systems stakeholders to pragmatically investigate the impact of variations in the design of A&F focused on a topic of clinical importance in our context and already delivered at scale. This is the first in a series of studies aimed at optimizing A&F being conducted within the Ontario Health Implementation Laboratory (OHIL) which is also part of the international Audit and Feedback MetaLab initiative aiming to develop a more cumulative science to better inform A&F practice [