A literature review to maximise the effectiveness of feedback systems for ambulance clinicians.

What is it about?

It is a literature review of clinical feedback systems that have existed for ambulance clinicians internationally. Examining the included papers, it identifies activities important to consider when designing a feedback system: Initially, understanding where improvements in practice are required and what clinicians know currently is important. In a strained environment feedback should be delivered with minimal resources, but it is important to maintain dialogue and the engagement of those involved. The timing, who delivers it and maintaining a balance of positive and negative feedback must be considered. Also, which incidents initiate feedback and what information is delivered are important for systems that cover all medical complaints encountered by these clinicians.

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Why is it important?

Ambulance clinicians receive little feedback on whether their diagnoses and decisions prove to be accurate and appropriate. Feedback should help both professional development and personal wellbeing and this article identifies activities that maximise the effectiveness of any feedback system designed for these prehospital clinicians.

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