...Declan Dunne; Nikhil Lal; Nagarajan Pranesh; Michael Spry; Christopher Mcfaul; Paul Rooney Purpose A clinical audit is a key component of the clinical governance framework. The rate of audit completion in general surgery has not been investigated. The purpose of this paper is to assess the rates...

...Monica Stolt Pedersen; Anne Landheim; Merete Møller; Lars Lien Purpose Audit and feedback (A&F) often underlie implementation projects, described as a circular process; i.e. an A&F cycle. They are widely used, but effect varies with no apparent explanation. We need to understand how...

... in all IDLs, and to assess its use in practice. Design/methodology/approach Three audit cycles analysed IDLs over two-week periods for their inclusion of the standardised list. The data were assessed qualitatively. Findings Baseline measurement showed 48.7 per cent of discharges had a brief...

... psychiatric rehabilitation unit, as a prompt to regularly monitor physical health parameters. An audit cycle was completed over a one year period. The data between baseline and re‐audit were compared. Findings At baseline, 80 per cent of the patients were identified as smokers, 80 per cent had increased...

... The National Audit Office has prepared a Compendium of published information on health-care systems, health-care provision and health achievements in ten countries: Australia, Canada, England, France, Germany, Italy, Japan, New Zealand, Sweden and the USA. The compendium was compiled...

...D. Griffith; P. Diggory; V. Jones; A. Mehta The classic audit cycle has been applied to the prescribing practice to improve aspects of the quality of prescribing in the setting of a department of health care for older people in a district general hospital. Details the methods used both to increase...

... in audit and the quality of current audit programmes within their specialities and assessed their knowledge and understanding of clinical governance. Our findings suggest: a high level of involvement in activities labelled audit, but that these activities did not necessarily conform to robust audit...

...Jane Robinson; Wendy Lefort Clinical audit departments will have to demonstrate more “business‐like” procedures such as rigorous project management in order to meet the demands of clinical governance. Addenbrooke’s NHS Trust Clinical Audit Department has developed a method of objectively estimating...

...Derek Milne; Dominique Keegan; Roger Paxton; Kaeti Seth An interview‐based survey of evidence‐based practice (EBP) and the research, continuing professional development (CPD) and audit activity that support it was conducted in the North East of England amongst a representative sample of NHS...

... in Scottish NHS acute trusts via the implementation of SIGN guidelines, and whether their implementation is being audited properly. It is argued that without clinical audit, guideline implementation is unlikely to succeed. This has important ramifications for the implementation of clinical governance...

... 1999 Audit ISO 9000 Kaizen Self‐assessment TQM Traditionally quality of healthcare was assured by the technical knowledge of medical and nursing professionals who were expected to use it in the best interest of patients. Consequently, global healthcare organisational performance...

...Brian W. Ellis Pathways of care define in detail the individual components of treatment for a group of patients. A well written pathway can give rise to consistent care of the highest quality. There are both educational and audit advantages to the approach. Details the means by which groups...

...Howard R. Lester Many different activities have been defined for the effective use of clinical audit. Proposes a method of linking the practice and outcome of audit with the Trust business people, setting out criteria methodology and background following a two‐year research study. © MCB UP...

...Gary Rix; Keith Cutting The UK Government’s White paper stated their commitment to the development of medical audit. The subsequent growth of audit activity by all health‐care professions has led to a proliferation of activity, often involving direct contact with the patient. However, there seems...

...Carol Davies; Joy Fletcher; Ala Szczepura; John Wilmot Since 1990, the changes introduced in UK general practice, such as fund holding and national incentives, have altered the process of care. Audit, defined as “the systematic critical analysis of the quality of medical care, including...

... hospitals and evaluates it using a matrix composed of Donabedian’s structure/process/outcome model of quality and Maxwell’s six dimensions of quality. Audit Health care Measurement Older people Quality The criteria are presented as a series of explicit questions and the answers...

...A.A. Shaltout; M.A. Qabazard; M. Al Khawari; R. Bushnaq; N.A. Abdella; R. Abdul Salam; H. Mughal Presents the results of a medical audit of the records of 199 children diagnosed as diabetic and admitted to Al‐Amiri Hospital,Kuwait. Uses the measurement of glycosylated haemoglobin (HbA1) to indicate...

...Stuart Anderson Describes the process of clinical audit following the introduction of a revised discharge policy. Identifies three key indicators of success regarding hospital supply of discharge medication: the extent to which ward staff and patients have to make personal visits to the pharmacy...

...James W. Aukett If clinical audit revolves around concepts of quality, then there is need to examine the basis of quality and thereby clinical audit as traditionally defined by health‐care organizations. Basing quality on patients’ stated needs is often insufficient. Gives an expanded view. Health...

...Stephen M. Jones Clinical audit in general surgery has been characterised by the early use of information technology to assist in the gathering of useful clinical data. Such an approach allows the study of accurate information on workload patterns and complication rates to influence the direction...