Browsing by Subject "feedback"
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Item Open Access Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.(BMJ quality & safety, 2018-04) Sexton, J Bryan; Adair, Kathryn C; Leonard, Michael W; Frankel, Terri Christensen; Proulx, Joshua; Watson, Sam R; Magnus, Brooke; Bogan, Brittany; Jamal, Maleek; Schwendimann, Rene; Frankel, Allan SBACKGROUND:There is a poorly understood relationship between Leadership WalkRounds (WR) and domains such as safety culture, employee engagement, burnout and work-life balance. METHODS:This cross-sectional survey study evaluated associations between receiving feedback about actions taken as a result of WR and healthcare worker assessments of patient safety culture, employee engagement, burnout and work-life balance, across 829 work settings. RESULTS:16 797 of 23 853 administered surveys were returned (70.4%). 5497 (32.7% of total) reported that they had participated in WR, and 4074 (24.3%) reported that they participated in WR with feedback. Work settings reporting more WR with feedback had substantially higher safety culture domain scores (first vs fourth quartile Cohen's d range: 0.34-0.84; % increase range: 15-27) and significantly higher engagement scores for four of its six domains (first vs fourth quartile Cohen's d range: 0.02-0.76; % increase range: 0.48-0.70). CONCLUSION:This WR study of patient safety and organisational outcomes tested relationships with a comprehensive set of safety culture and engagement metrics in the largest sample of hospitals and respondents to date. Beyond measuring simply whether WRs occur, we examine WR with feedback, as WR being done well. We suggest that when WRs are conducted, acted on, and the results are fed back to those involved, the work setting is a better place to deliver and receive care as assessed across a broad range of metrics, including teamwork, safety, leadership, growth opportunities, participation in decision-making and the emotional exhaustion component of burnout. Whether WR with feedback is a manifestation of better norms, or a cause of these norms, is unknown, but the link is demonstrably potent.Item Open Access Systematic Postoperative Nausea Prophylaxis Feedback Improves Clinical Performance in Anesthesiology Residents.(J Educ Perioper Med, 2015-07) Greene, Nathaniel H; Norstedt, Peter A; Nair, Bala G; Souter, Karen JBACKGROUND: Electronic medical records can generate a wealth of information regarding compliance with perioperative clinical guidelines as well as patient outcomes. Utilizing this information to provide resident physicians with measures of their own clinical performance may positively impact residents' clinical performance. We hypothesize that providing residents with objective measures of their individual adherence to evidence based postoperative nausea and vomiting (PONV) management protocols will improve their compliance with standardized treatment methods. METHODS: We conducted a retrospective baseline analysis of junior anesthesiology residents' compliance with PONV prophylaxis guidelines for high-risk patients. This was followed by a prospective cohort study, before and after an educational intervention, a 15 minute lecture on PONV prophylaxis. The number of pharmacologic prophylactic interventions were tabulated for each operative case and reported back to individual residents in blind and anonymous fashion. The primary outcome was the use of two or more prophylactic interventions for a high-risk patient, while the secondary outcome was the use of three or more prophylactic interventions. A follow up survey was administered to participating residents regarding the use of their individualized clinical performance. RESULTS: After implementation of feedback, patients received a significantly higher amount of PONV prophylactic treatments (p=0.001, means of 1.35 vs. 1.99). Comparison of percentage compliance was 38% vs 73%, respectively (p<0.001). In a follow up survey, residents received the feedback intervention well and had no significant concern in the dissemination of deidentified performance outcomes publically. CONCLUSIONS: Resident compliance with PONV treatment guidelines was improved merely by auditing performance and providing individualized feedback. High-risk patients appear to receive more prophylactic agents after performance feedback and may be more effective than a more commonly used educational intervention to address the same topic. Providing direct performance feedback may be a useful tool for integration into graduate medical education programs.Item Open Access The Effects of Affiliation Motivation on Feedback Seeking and Self-regulation(2022) Kim, Jee YoungThe present research investigates how motivation to affiliate with others shapes the way people search for feedback from others for their goal pursuits and its general implications on self-regulation. I hypothesize that affiliation motivation will influence how much people seek feedback from others and to whom they turn for feedback. People with high affiliation motivation will view feedback-seeking as a potential tool for strengthening their existing social ties and forming additional ones, whereas people with low affiliation motivation will perceive great costs in feedback seeking. As such, people with high affiliation motivation will seek feedback from a broad range of sources. People with low affiliation motivation, on the other hand, will seek feedback from those most willing and able to provide it, which may often be those with whom they are already close. Four studies support these predictions by showing how affiliation motivation is associated with feedback seeking from a broad range of sources (Study 1), how affiliation motivation moderates the effect of feedback source on goal performance (Studies 2 – 3), and how affiliation motivation influences goal progress indirectly through affecting the preference for feedback source in everyday goal pursuits (Study 4).
Item Open Access Understanding the Hypercorrection Effect: Why High-Confidence Errors are More Likely to be Corrected(2010) Fazio, Lisa K.The hypercorrection effect refers to the finding that high-confidence errors are more likely to be corrected after feedback than are low-confidence errors (Butterfield & Metcalfe, 2001). In 5 experiments I examine the hypercorrection effect, offer possible explanations for why the effect occurs, and examine the durability of the effect. In Experiment 1, I replicate the hypercorrection effect and show that delaying the feedback does not reduce the effect. In a secondary item analysis I also show that the effect is not caused by "tricky" questions. In Experiments 2 and 3, I show that subjects are more likely to remember the source of the feedback after both high-confidence errors and low-confidence correct responses. This suggests that it is the discrepancy between the subject's expectation and the actual feedback that causes the hypercorrection effect. In Experiment 4 I show that the hypercorrection effect also occurs for episodic false memories showing the diversity of the effect. Finally, in Experiment 5 I examine the durability of the effect. Initial high-confidence errors that are corrected after feedback remain corrected one week later.