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Examines the role of medical audit in the internal market‐driven quality process in health care provision. Explores the requirements to establish an efficient and effective medical audit function in practice and examines the inter‐relationship between medical audit, information technology and training. Explores the practical implementation of medical audit in South Warwickshire District Health Authority, including the outcomes of a specific project on information management technology training for medical staff. Considers the information technology issues in the context of the District Authority also being a pilot site for the implementation of Hospital Information Support System (HISS) running on an IBM AS/400. Demonstrates a cost‐effective PC networked solution to the information requirements of medical audit and quality processes. Training and attitudinal obstacles to medical audit and information technology are tackled by a flexible, action learning approach.

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