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Table 3 Initial recommendations for audit and feedback and quality improvement reports in primary care

From: Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment

Dissemination Discuss with each practice who the report should be sent to, i.e. prescribing lead
Actively involve practice based pharmacists – include on email distribution lists
Suggest that if the report is forwarded onwards by a lead GP/practice manager, the next recipient acknowledges receipt and how the report will be used, if at all
Communication with practices Emphasise that the reports might save practices time on audit activity
Communication with patients Provision of guidance letter and example patient communication with the report
Communication within local networks Include resources and suggestions to encourage practices to discuss how they have used reports within their local primary care networks
Content/topic Aim for clinical content and topics that are in line with current local and national priorities for quality improvement
Structure of report Provide individual patient identifiers if possible to expedite case finding
Prioritise information on patients needing review at the beginning of the report, avoid lengthy background contextualising the report
Incorporate a tool to allow flagging of patients included in previous searches, so if they were excluded by a clinician from the quality indicator they dont' have to go back over the same searches/exclusion criteria