Publications by authors named "Rashmi Bhardwaj-Gosling"
Article Synopsis
- The study looked at how much it would cost and how it would affect people's health if England improved their endoscopy (a type of medical test) services to be the best they can be.
- They used a model to compare three types of endoscopy services: high, middle, and low performing, by simulating the experience of 40-year-olds until they are 90 years old.
- The findings suggest that if all lower-performing services were improved, it could provide significant health benefits and save the NHS around £5 million each year.
Article Synopsis
- The study used the UK's National Endoscopy Database to evaluate if feedback on polyp detection rates could improve endoscopists' performance during colonoscopies.
- It involved a randomized trial with 541 endoscopists across 36 centers, where those in the intervention group received monthly performance reports based on behavior change theories.
- Although there was no significant increase in the average number of polyps detected, there were notable improvements in overall polyp detection rates during the intervention, particularly among those who actively engaged with the feedback, but these gains did not carry over after the intervention.
Background: Audit and feedback (A&F) interventions improve patient care but may result in unintended consequences. To evaluate plausible harms and maximise benefits, theorisation using logic models can be useful. We aimed to explore the adverse effects of colonoscopy A&F using a feedback intervention theory (FIT) dark logic model before the National Endoscopy Database Automated Performance Reports to Improve Quality Outcomes Trial study.
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