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Comparative audit: a new method of delivering audit.

M Emberton¹, R Rivett, B W Ellis

¹Hammersmith Hospital, London.

Annals of the Royal College of Surgeons of England

|November 1, 1991

Summary

A novel comparative audit method was developed and applied to analyze the clinical practices of 45 general surgeons. This audit provides insights into surgical outcomes and resource utilization for improved healthcare delivery.

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Area of Science:

Health Services Research
Surgical Audit
Quality Improvement

Background:

Traditional audit methods can be resource-intensive and may not always reflect current clinical practice.
The need for large-scale, comparative data to drive improvements in surgical care is increasingly recognized.

Purpose of the Study:

To introduce and describe a new methodology for large-scale comparative surgical audit.
To demonstrate the application of this audit technique using real-world clinical data.

Main Methods:

The study describes the first large-scale comparative audit meeting at The Royal College of Surgeons of England.
It details the process of undertaking a comparative audit, including data collection and analysis.
A specific case study involving 3,710 inguinal hernia procedures is used to illustrate data manipulation, ranking, and graphical presentation.

Main Results:

The comparative audit processed clinical activity from 45 general surgeons, encompassing 49,005 patient admissions.
Analysis of 3,710 inguinal hernia procedures, accounting for 12,600 patient days, demonstrated the technique's utility.
The results highlight the potential for identifying variations in practice and outcomes.

Conclusions:

The described comparative audit method offers a robust approach for evaluating surgical performance on a large scale.
This technique facilitates data-driven insights for enhancing the quality and efficiency of surgical services.
Future applications of this method are suggested for ongoing quality improvement initiatives in surgery.

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