Responsible beverage service program primarily depend upon

At each hospital, key individuals involved in prescribing transfusions reported never having received feedback from a national audit. Members of the hospital's transfusion team initially received feedback in all cases, and were primarily responsible for disseminating and responding, facilitated through the Hospital Transfusion Committee. We also analysed data to identify which staff currently receive feedback and how dissemination is managed within the hospital. We coded interview transcripts into theoretical domains, then inductively identified themes within each domain to identify barriers and enablers. Interviews and analysis were based on the Theoretical Domains Framework of behaviour change. We conducted semi-structured interviews with staff from transfusion-related roles and observed Hospital Transfusion Committee meetings. Using a multiple case study approach, we purposively sampled four UK hospitals for variation in infrastructure and resources. This study aimed to investigate which hospital staff initially receive feedback and formulate a response, how feedback is disseminated within hospitals, and how responses are enacted (including barriers and enablers to enactment). staff regulating their behaviour accordingly). relevant staff receiving the feedback) and response (e.g. However, effects of audit and feedback depend upon both reach (e.g.

National clinical audits play key roles in improving care and driving system-wide change.

11 Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.10 Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.9 Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom.8 Department of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.7 Transfusion Medicine, NHS Blood and Transplant, Oxford, United Kingdom.6 Clinical Trials Research Unit, University of Leeds, Leeds, United Kingdom.5 Department of Health Sciences, University of York, York, United Kingdom.4 Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.3 Scottish National Blood Transfusion Service, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.2 Centre for Behaviour Change, University College London, London, United Kingdom.1 School of Health Sciences, City University of London, London, United Kingdom.

Responsible beverage service program primarily depend upon