(2002; 6 pages) [French] [Spanish]
7. Supervision, audit and feedback
Supervision is essential to ensure good quality of care, Supervision that is supportive, educational and face-to-face, will be more effective and better accepted by prescribers than simple inspection and punishment. Effective forms of supervision include prescription audit and feedback, peer review and group processes. Prescription audit and feedback consists of analysing prescription appropriateness and then giving feedback, Prescribers may be told how their prescribing compares with accepted guidelines or with that of their peers. Involving peers in audit and feedback (peer review) is particularly effective, In hospitals, such audit and feedback is known as drug use evaluation. Group process approaches amongst prescribers consist of health professionals themselves identifying a medicine use problem and developing, implementing and evaluating a strategy to correct the problem. This process needs facilitation by a moderator or supervisor. Community case management is a special type of supervised group process involving community members in treating patients.