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Surgical audit: are we not closing the loop?
Declan Dunne1, Nikhil Lal2, Nagarajan Pranesh3
1Aintree University Hospitals NHS Foundation Trust, Liverpool, UK.
International Journal of Health Care Quality Assurance
|November 13, 2018
Summary
General surgery has low clinical audit completion rates, with only 7 of 39 audits fully completed. Barriers to audit completion in surgical practice need urgent strategies for improvement.
Area of Science:
- Healthcare Management
- Surgical Quality Improvement
- Clinical Governance
Background:
- Clinical audits are crucial for the clinical governance framework.
- Audit completion rates in general surgery are not well-documented.
- Understanding these rates is vital for improving surgical quality.
Purpose of the Study:
- To assess audit activity and completion rates in general surgery.
- To identify barriers hindering the successful completion of surgical audits.
- To provide insights for enhancing audit practices in surgical departments.
Main Methods:
- A multi-centre study evaluated current surgical audit practices.
- A standardized audit proforma was used for data collection.
- Retrospective review of general surgery audits over two years, with verification from audit teams.
Main Results:
- Only 15 out of 39 registered audits completed at least one cycle; 7 were fully completed to re-audit.
- Two of six approached trusts refused participation; one failed to start.
- Lack of completion was often attributed to achieving publication or presentation.
Conclusions:
- Poor audit completion rates observed in general surgery mirror those in other clinical areas.
- Improving audit completion is essential for enhancing surgical quality and patient care.
- Strategies to overcome barriers and boost audit completion are urgently required.
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