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Assessment of paediatric clinical audit
1Department of Paediatrics, Mayo General Hospital, Castlebar, Co Mayo.
Insights
Irish consultant paediatricians
Area of Science:
- Pediatric Healthcare
- Medical Auditing
- Healthcare Management
Background:
- Hospital audit environments significantly impact healthcare quality and safety.
- Understanding consultant paediatricians' perceptions is crucial for improving audit processes.
Purpose of the Study:
- To evaluate consultant paediatricians' perceptions of the hospital audit environment in Ireland.
- To assess their involvement in the audit process and identify barriers.
Main Methods:
- A survey was distributed to consultant paediatricians in Ireland.
- Eighty-nine responses were analyzed to understand perceptions and involvement in audits.
Main Results:
- A majority of surveyed paediatricians found audits important, with many actively involved.
- However, few felt their hospitals were well-resourced or had a positive audit culture.
- Lack of protected time for audit was a significant issue, with NCHD career development being the primary audit trigger.
Conclusions:
- Significant deficiencies exist in the hospital audit environment for paediatricians.
- Addressing these issues is essential to meet requirements of the new Professional Competence Scheme and National Quality and Risk Management Standards.
Abstract:
Consultant paediatricians in Ireland were surveyed to evaluate their perceptions of the hospital audit environment and assess their involvement in the audit process. Eighty nine (77%) replied of whom 66 (74%) had an audit department and 23 (26%) did not. Sixteen (18%) felt their hospital was well resourced for audit and 25 (28%) felt the culture was very positive but only 1 (1%) had protected time. For 61 (69%) consultants audit was very important with 38 (43%) being very actively involved in the process. The most frequent trigger for audit was non consultant hospital doctor (NCHD) career development, cited by 77 (87%). The new Professional Competence Scheme and the National Quality and Risk Management Standards will require the deficiencies identified in this survey be addressed.
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