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[Standards as basis for medical audit].

B O Hoftvedt1, J Eskerud

  • 1Den norske laegeforening, Lysaker.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 30, 1992
PubMed
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Medical audit should shift focus from controlling doctor adherence to expert standards towards education. Participating doctors should collaboratively define practical standards based on their experience for better outcomes.

Area of Science:

  • Medical Education
  • Healthcare Quality Improvement
  • Clinical Practice Evaluation

Context:

  • Traditional medical audit often involves external control and adherence to expert-defined standards, which can be difficult to implement.
  • Doctoral decision-making processes reveal challenges in establishing universally applicable clinical problem-solving standards.
  • Physician engagement with externally imposed standards is often limited, hindering effective quality improvement.

Purpose:

  • To propose a revised model for medical audit that prioritizes education over strict control.
  • To advocate for the collaborative development of clinical standards by healthcare professionals involved in audit projects.
  • To enhance the effectiveness of medical audit by grounding standards in practical, experienced-based knowledge.

Summary:

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  • The proposed medical audit procedure involves observing practice, reflection, identifying changes, formulating standards collaboratively, implementing changes, evaluating outcomes, and providing group feedback.
  • This approach emphasizes practical knowledge gained from common medical experience over standards defined by remote experts.
  • The core recommendation is to shift medical audit from a control-oriented function to an educational one, fostering professional development and practice improvement.

Impact:

  • Implementing this educational, collaborative model can lead to greater physician buy-in and adherence to practice standards.
  • It has the potential to improve the quality of medical practice by developing more relevant and applicable clinical guidelines.
  • This approach can foster a culture of continuous learning and evidence-based practice within healthcare settings.