Half of quality improvement studies found ineffective

While researchers reported that audit and feedback can potentially improve the quality of health care, results from a new study indicate that only half of all quality improvement studies lead to improvements in medical practices.Investigators at Women’s College Hospital in Toronto showed that feedback and testing audits can improve quality, but the implementation of the intervention is key to achieving beneficial results.

Subjective estimation of ILM peeling surface without dye improves with experience

Junior and senior surgeons’ ability to subjectively estimate the internal limiting membrane peeling surface without the use of dye was fair; however, surface areas were larger for more-experienced surgeons, researchers found.In a prospective study, 30 eyes of 30 patients underwent epiretinal membrane surgery; half of the patients had surgery performed by a senior surgeon, and the other half had surgery performed by two junior surgeons. All patients underwent an eye examination, which included measurement for best corrected visual acuity, slit-lamp examination and a dilated fundus ophthalmoscopy.