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Audit in palliative care: does practice change?

I J Higginson1, J Hearn, D Webb

  • 1Kensington Chelsea and Westminster Health Authority, London, UK.

European Journal of Cancer Care
|December 1, 1996
PubMed
Summary
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Palliative care audits are widely adopted, driving improvements in patient care standards, documentation, and practice. Addressing staff concerns about time commitment can enhance audit

Area of Science:

  • Palliative Care
  • Healthcare Management
  • Quality Improvement

Background:

  • Palliative care services are crucial for improving patient quality of life.
  • Audit is a key mechanism for assessing and enhancing healthcare practices.

Purpose of the Study:

  • To document palliative care audit initiatives.
  • To identify practice changes resulting from audits.
  • To ascertain palliative care staff perspectives on audit.

Main Methods:

  • A postal questionnaire was distributed to 31 palliative care services.
  • 28 units responded, providing data on audit activities and impact.

Main Results:

  • 78% of responding units currently conduct audits; 7% plan future implementation.

Related Experiment Videos

  • Audits led to improved standards (e.g., referral response), documentation (e.g., case notes), and unit practices (e.g., multidisciplinary care plans).
  • Staff identified enhanced patient care quality as the primary audit benefit, with time commitment as the main drawback.

    • Conclusions:

    • Palliative care audits are prevalent and positively influence care quality and practice.
    • Clear audit aims and designs provide evidence for new palliative care strategies.
    • Educating staff on audit benefits can mitigate concerns and encourage participation.