5 However, in the trials included in the review, the effects varied widely, from an apparent negative to a very large positive effect. The most recent systematic review concluded that providing healthcare professionals with data about their performance in the form of audit and feedback may help improve their practice. The most frequently cited barrier to successful clinical audit is the failure of organisations to provide sufficient protected time for healthcare teams to participate. 3 For every success story there is a project that has run into the ground without showing any substantial contribution to quality of services. Audit and feedback has not consistently been found to be effective. There is conflicting evidence on whether audit works.
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