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Obstetric audit using routinely collected computerised data.

P L Yudkin1, C W Redman

  • 1Nuffield Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Headington, Oxford.

BMJ (Clinical Research Ed.)
|December 15, 1990
PubMed
Summary
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Routinely collected computerised data can support clinical audit in obstetrics. However, comprehensive audits require more detailed data than typically available, alongside clinician agreement on standards and willingness to adapt practice.

Area of Science:

  • Medical Informatics
  • Healthcare Management
  • Obstetric Practice

Background:

  • Clinical audit is crucial for improving healthcare quality.
  • Computerised data systems offer potential for efficient data collection and analysis.
  • The utility of routinely collected data in clinical audit requires examination.

Purpose of the Study:

  • To evaluate the application of routinely collected computerised data in clinical audit within obstetric practice.
  • To assess the congruence of computerised data analyses with clinical audit principles.

Main Methods:

  • A retrospective review of analyses of obstetric practice was conducted.
  • Data were sourced from a computerised system at a regional referral hospital in Oxford.
  • The study period spanned from January 1983 to June 1988.

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Main Results:

  • Over 130 special inquiries utilized the computerised data for obstetric practice analysis.
  • Most inquiries focused on describing current practices and identifying trends, with genuine clinical audits being infrequent.
  • While simple audits were feasible, complex audits necessitated supplementary data beyond the computerised system.

Conclusions:

  • Routinely collected computerised data can facilitate ongoing clinical audit.
  • Effective clinical audit requires agreed-upon practice standards and a flexible approach to change.
  • Genuine clinical audits in obstetrics often necessitate more detailed and comprehensive data than is typically available in standard computerised systems.