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Related Experiment Video

Updated: Jun 29, 2026

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

Auditing orthopaedic audit.

E Guryel1, K Acton, S Patel

  • 1Department of Orthopaedics, Kingston Hospital NHS Trust, Kingston upon Thames, Surrey, UK. enisguryel@doctors.org.uk

Annals of the Royal College of Surgeons of England
|October 3, 2008
PubMed
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Clinical audits are crucial for improving patient care quality. However, many audits, especially those led by junior doctors, fail to complete the cycle, hindering effectiveness and wasting resources.

Area of Science:

  • Healthcare Quality Improvement
  • Clinical Governance
  • Medical Audit Effectiveness

Background:

  • Clinical audit is fundamental to improving patient care quality and clinical governance.
  • Completing the audit cycle is essential for verifying quality improvements.
  • Significant resources are invested in clinical audit activities in the UK.

Purpose of the Study:

  • To analyze the effectiveness of clinical audits in trauma and orthopaedics.
  • To evaluate audit project completion rates against established criteria.
  • To identify factors influencing the successful completion of the audit cycle.

Main Methods:

  • Analysis of 25 audit projects conducted over a 6-year period in a local hospital.
  • Comparison of audit projects against criteria from the NHS National Audit and Governance report.

Related Experiment Videos

Last Updated: Jun 29, 2026

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

  • Assessment of audit completion rates, adherence to standards, and implementation of action plans.

    • Main Results:

    • Only 20% of audits completed the full audit cycle.
    • Half of the audits were presented, but only two met national standards.
    • Junior doctor-led audits showed lower implementation rates (33%) compared to consultant-led (75%) and nurse-led (67%) audits.

    Conclusions:

    • A significant proportion of clinical audits do not meet effectiveness criteria.
    • Junior doctor-led audits are least likely to complete the cycle, potentially due to training continuity and incentives.
    • Consultant supervision and audit department involvement are key to improving action plan implementation.