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Published on: February 16, 2011
Audit in clinical practice
Prince Cheriyan Modayil1, Ragesh Kuyyattil Panchikkeel, Nisha Alex
1Department of Otorhinolaryngology, St George's Hospital, London, UK.
Summary
Clinical audit is a quality improvement process that systematically reviews healthcare against standards to enhance patient care. It involves setting standards, measuring practice, and implementing changes to confirm improvements.
Area of Science:
- Healthcare Quality Improvement
- Clinical Practice Review
Background:
- The concept of audit in healthcare has ancient origins, dating back to 1750 BC.
- Clinical audit is a method to assess adherence to established standards and best practices in healthcare delivery.
Purpose of the Study:
- To define and explain the process and importance of clinical audit.
- To highlight clinical audit as a systematic quality improvement process.
Main Methods:
- The clinical audit cycle involves establishing standards, measuring current practices, and comparing them against these standards.
- It includes implementing changes based on the comparison and conducting re-audits to verify improvements.
Main Results:
- Clinical audit systematically reviews care against explicit criteria to improve patient care and outcomes.
- Changes implemented at various levels (individual, team, service) are confirmed through re-auditing.
Conclusions:
- Clinical audit is a crucial quality improvement process for enhancing healthcare delivery and patient outcomes.
- Barriers to effective clinical audits include insufficient funding and protected time for healthcare teams.
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