Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Critical Thinking II01:25

Critical Thinking II

Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
Purpose of Health Records I01:11

Purpose of Health Records I

The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Nursing Assessment01:29

Nursing Assessment

The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments and...
Quality Assurance01:19

Quality Assurance

Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Exploring tools used in the assessment of Trauma Team Leadership using video review: a systematic review.

Scandinavian journal of trauma, resuscitation and emergency medicine·2026
Same author

Perceived eye care risk and safety issues identified by optometrists in Scotland: a focus group study.

BMJ open quality·2026
Same author

Workarounds and Digital Health: Current Perspectives Through Human Factors, Person-Centred Practice and Patient Safety Lenses.

Studies in health technology and informatics·2026
Same author

Transitions of care following acute kidney injury: a systems-based analysis.

BMC nephrology·2026
Same author

'Situation awareness' in midwifery practice: a scoping review.

BMJ open quality·2026
Same author

From escalation to emergence: NHS Forth Valley and the quiet power of Transformative Simulation.

BMJ leader·2026

Related Experiment Video

Updated: Jun 6, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Clinical audit and quality improvement - time for a rethink?

Paul Bowie1, Nicholas A Bradley, Rosemary Rushmer

  • 1NHS Education for Scotland, Glasgow, Scotland, UK. paul.bowie@nes.scot.nhs.uk

Journal of Evaluation in Clinical Practice
|November 20, 2010
PubMed
Summary

Clinical audit shows limited patient care benefits due to barriers like workload and lack of support. A debate is needed on audit

Related Experiment Videos

Last Updated: Jun 6, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Healthcare Quality Improvement
  • Medical Auditing
  • Health Services Research

Background:

  • Clinical audit is a long-standing quality improvement (QI) policy but evidence of its patient care benefits is limited.
  • Attitudinal, professional, and organizational barriers hinder the effectiveness of clinical audit.
  • Clinical audit advisors possess unique insights into the strategic and practical application of audit within healthcare organizations.

Purpose of the Study:

  • To explore the views and experiences of clinical audit advisors.
  • To understand their role in supporting healthcare teams through the audit process.

Main Methods:

  • A qualitative study was conducted using semi-structured and focus group interviews.
  • Participants (n=21) were purposively sampled across health sectors in two Scottish NHS Boards.
  • Interviews were audio-taped, transcribed, and subjected to thematic analysis.

Main Results:

  • Work pressure and lack of protected time are cited barriers, masking deeper issues of non-engagement.
  • Professional disparities exist in participation opportunities, with doctors potentially dominating the process.
  • Audit is perceived as a burdensome, managerially driven exercise lacking professional rewards, often hampered by management support failures and inter-professional conflicts.

Conclusions:

  • Findings align with previous research, indicating clinical audit, as currently practiced, falls short of policy expectations.
  • A shift towards systems-based QI methods is occurring, though their impact remains under-researched.
  • Overcoming persistent professional, educational, and organizational barriers is crucial, necessitating a discussion on audit's role alongside other QI approaches.