TY - JOUR T1 - How to improve practice by means of the Audit Project Odense method JF - British Journal of General Practice JO - Br J Gen Pract SP - 235 LP - 236 DO - 10.3399/bjgp22X719417 VL - 72 IS - 718 AU - Malene Plejdrup Hansen AU - Jesper Lykkegaard AU - Jens Søndergaard AU - Anders Munck AU - Carl Llor Y1 - 2022/05/01 UR - http://bjgp.org/content/72/718/235.abstract N2 - Back in the 1990s, Oxman et al concluded that ‘there are no “magic bullets” for improving the quality of health care’.1 Today, almost 30 years later, the conclusion is still the same, despite a plethora of studies having evaluated the effectiveness of strategies to change healthcare professionals’ behaviour and improve patient care. In general, passive dissemination strategies such as the distribution of educational materials appear largely ineffective, while interventions based on action, such as audit and feedback, educational meetings, educational outreach visits, and reminders, have been shown to be more effective.2,3Interventions more likely to be successful seem to act through the Normalisation Process Theory constructs that explain implementation mechanisms: coherence (sense making of interventions); cognitive participation (engagement with intervention); collective actions (work done to enable intervention to happen); and reflexive monitoring (cost–benefit appraisal).4 We hereby present the Audit Project Odense (APO) method, which seeks to address all the dimensions of the Normalisation Process Theory by self-registration and open discussion of the identified behaviour.In the 1970s, a simple chart was developed at the Birmingham Research Unit for General Practice, suitable for prospective self-registration of activities in general practice.5 In England many different practice activities were registered by means of this chart, but when the registrations were repeated 1 year later hardly any changes had taken place. In the late 1980s, four Danish GPs from the Department of General Practice at … ER -