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Table 5 NDA feedback: key strengths likely to facilitate successful progress through the CP-FIT feedback cycle and opportunities for improvement. Associated feedback cycle components are displayed in brackets

From: Opportunities to improve the impact of two national clinical audit programmes: a theory-guided analysis

Strengths

Opportunities for improvement

More frequent data release

This appears to meet user needs and is consistent with the best evidence about improving feedback effectiveness

(Acceptance, Intention).

Delivery to target recipients

The feedback may be failing to reach much of its intended audience. If staff are unaware of the feedback then it cannot be discussed nor prompt improvement (Interaction).

Automated data collection

This minimises the impact upon the staff and helps to ensure a large, accurate dataset. It also reduces complexity and strengthens the initial processes of the cycle (Data collection and analysis).

Presentation

Those who do receive it may not read it: participants found it off-putting and impenetrable (Perception).

Respected source and widely accepted indicators

The feedback is considered to come from a credible source; the indicators are recognised as relevant and important (Acceptance).

Interpretation

Too much was required of users to produce useful comparator detail (Perception, Intention).