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What is audit and how to start it?

A V Pollock1

  • 1Scarborough Hospital, England.

Acta Chirurgica Belgica
|April 1, 1996
PubMed
Summary

Clinical audit systematically examines diseases and medical interventions, going beyond quality assurance to include clinical research and accurate practice recording. It requires comparing findings with published data to improve medical practices.

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Area of Science:

  • Medical Practice and Research
  • Healthcare Quality Improvement

Background:

  • The term "audit" historically refers to systematic examination of accounts.
  • Clinical audit applies this systematic examination to diseases and medical interventions.

Purpose of the Study:

  • To define clinical audit and its scope.
  • To outline methods for initiating and conducting clinical audits.
  • To emphasize the importance of comparing results with published data for practice improvement.

Main Methods:

  • Systematic examination of medical practice and interventions.
  • Accurate and honest recording of clinical activities.
  • Comparison of audit findings with established benchmarks or published results.
  • Utilizing critical incident reporting as an alternative data source when outcome recording is challenging.

Main Results:

  • Clinical audit integrates quality assurance and clinical research.
  • Effective clinical audit necessitates comprehensive data recording and comparison.
  • Challenges in outcome recording can be addressed by critical incident reporting.

Conclusions:

  • Clinical audit is a crucial tool for enhancing medical practice.
  • The process involves systematic review, data comparison, and a focus on improvement.
  • Audit must be engaging and yield actionable results for practitioners.

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