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Related Experiment Videos

Clinical audit. Check-up time.

R Barnes1, K Hansed

  • 1Public Services Audit Department, Coopers & Lybrand.

The Health Service Journal
|April 27, 1998
PubMed
Summary
This summary is machine-generated.

Clinical audit workload varied significantly across 21 trusts, with an average cost of £2,260 per audit. Most trusts monitored recommendations after audits.

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Area of Science:

  • Healthcare Management
  • Quality Improvement in Medicine
  • Clinical Governance

Background:

  • Clinical audit is a crucial quality improvement tool in healthcare.
  • Variability in clinical audit practices can impact healthcare quality and resource allocation.
  • Understanding current practices is essential for optimizing audit processes.

Purpose of the Study:

  • To survey the current landscape of clinical audit practices in UK National Health Service (NHS) trusts.
  • To identify variations in audit workload, frequency, and cost.
  • To assess the follow-up on audit recommendations.

Main Methods:

  • A survey was conducted across 21 National Health Service (NHS) trusts.
  • Data collected included the number of audits performed annually, services audited, audit costs, and follow-up procedures.

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  • Analysis focused on identifying ranges and averages of key audit metrics.
  • Main Results:

    • Significant variations in the number of clinical audits conducted annually were observed, ranging from 4 to 218 across trusts.
    • Surgery, diagnostics, mental health, and medicine were the most frequently audited service areas.
    • The average cost per audit was estimated at £2,260, with most trusts reporting review of implemented recommendations.

    Conclusions:

    • Clinical audit implementation and workload show considerable heterogeneity across healthcare settings.
    • Standardization of audit processes and resource allocation may be beneficial.
    • Effective follow-up on audit recommendations is a common practice, supporting continuous quality improvement.