... in this clinical scenario. Design/methodology/approach The authors conducted a retrospective clinical audit of identified TNBC patients at St Vincent’s Hospital (SVH) between 2006 and 2016 in NSW, comparing referral practice to guidelines extant at the time of diagnosis. Family history was considered for age...

... a commensurate shift in organisational management and re-structuring of governance systems (Podger, 2006 ; Menadue, 2003 ; Dwyer, 2002). Risk management Clinical governance Governance Audit Nursing Integrated governance The ideology of governance is frequently espoused within healthcare...

... handover procedures. The purpose of this paper is to show how to improve handover practice through standard setting and sequential audit. Design/methodology/approach – A Trust wide Standard Operating Procedure (SOP) for handover was developed. Trainees were audited on perception of handover...

...Alistair M. Brown Purpose This paper seeks to analyse the audit findings, by the Auditor General's Office of the Solomon Islands, of the Ministry of Health and Medical Services, Solomon Islands' main health and medical agency that aims to coordinate the country's health and medical services...

... Hospital aimed to minimise waiting times for surgery thereby reducing incarceration and complication rates. This paper aims to examine how this was done. Design/methodology/approach Bristol Children's Hospital provides local and regional (tertiary referral) services. Retrospective audit of waiting...

... investigations or by the creation of a scoring system to take account of the waiting times for a wide range of investigations. © MCB UP Limited 2003 Audit Hospitals Performance measurement Consultants At present the length of time a patient waits to see a hospital specialist is carefully...

...Renee McCulloch; Katherine Martin; Clare Robertson Sensorineural hearing loss is a common sequel of bacterial meningitis in childhood and hearing assessment post‐meningitis is therefore essential. An audit performed of practice in a tertiary centre paediatric unit over 24 months in 1994‐1995 showed...

...John D. Holden Two series of visits to practices in a district in north west England were undertaken to encourage significant event review. The first was to non‐participants in audit projects who discussed lumbar‐sacral spine X‐rays and deaths with the GP facilitator. The second was to single...

... was audited with senior staff in clinical areas to ascertain local views and practices. Commonly used alternatives and other relevant terms were identified. The results were validated by a multidisciplinary workshop to determine a final list. Evaluation of these and wider examples highlights the many...

... of the proforma had been agreed, its utilisation and effectiveness was audited. In an initial six month period, every proforma filled in had resulted in a TNM classification being given, although in only 20 out of 40 (50 per cent) had a tumour stage been given. In a subsequent six month period, 39 out of 44...

...Sam Chakraverty Resources Audit Hospitals This book has the stated objective of assisting those working in radiology departments to address the requirements of clinical governance, both within the department and outside using many suggested audit tools. It also provides some background...

... considers the importance of risk management, clinical audit and clinical governance in identifying what systems may need to be addressed within hospital and primary care trusts to ensure that deaths arising out of, or occurring during, medical care are investigated appropriately. As part of risk management...

...Robin Dowie; Andrew Kennedy Clinical audit may undergo organisational change as the new primary care trusts assume responsibility for community health services. Very little has been published, however, about community‐based audit. A survey of audit activities involving clinical audit staff...

...Judith Nicholson; John Holden A district‐wide audit was completed for five different aspects of the care of patients with epilepsy: principally issues for women of child‐bearing age and the offer of annual reviews to patients, possibly conducted by questionnaire. There were improvements in care...

...Lorraine M. Clapham; Julie Buckley Outcome audits describe the current level of clinical performance and direct change in clinical practice. The outcome measures used should be not only relevant and easily understood but also available to all interested parties, e.g. patients, clinicians...

...Fred Schreuder; B.W.E. Powell The Plastic Surgery Department undertook an audit of the rate of excision of basal cell carcinomas (BCCs) at St George’s Hospital. The aim of the audit was to determine the rate of incomplete excision of BCCs excised by the department over a six‐month period...

...John Dearlove A retrospective audit from 1 June 1993 to 31 May 1994 of all new paediatric referrals (921 children) was performed to evaluate a popular radiological protocol for the investigation of first urinary tract infections (UTIs). Of the 71 children with their first UTI, 12 were investigated...