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Abstract：
Can the quality of care be improved by repeated measurement? We show that measuring protocol adherence repeatedly over ten weeks leads to significant improvements in quality immediately and up to 18 months later without any additional training, equipment, supplies or material incentives. 96 clinicians took part in a study which included information, encouragement, scrutiny and repeated contact with the research team measuring quality. We examine protocol adherence over the course of the study and for 45 of the original clinicians 18 months after the conclusion of the project. Health workers change their behavior significantly over the course of the study, and even eighteen months later demonstrate a five percentage point improvement in quality. The dynamics of clinicians\' reactions to this intervention suggest that quality can be improved by the repeated measurement by external peers in a way that provides reminders of expectations.
摘要：
通过重复测量可以改善护理质量吗？我们表明，在十周内重复测量方案依从性会导致立即和长达18个月后的质量显着改善，而无需任何额外的培训。设备,供应或物质激励。96名临床医生参加了一项研究，其中包括信息，鼓励,审查和与研究团队测量质量的反复接触。我们在研究过程中以及项目结束后18个月的45位原始临床医生检查了协议的依从性。卫生工作者在研究过程中显著改变了他们的行为，甚至在18个月后，质量提高了5个百分点。临床医生对这种干预的反应动态表明，可以通过外部同行的重复测量来提高质量，从而提醒人们期望。
