Audit: how to do it in practice

Abstract

Junior doctors can find the process of doing an audit helpful in gaining an understanding of the healthcare process—here’s how to do one

The quality of medical aid provided to the children with type 1 diabetes mellitus

“…Сеченова (да- Исследование может быть отнесено к особому типу -аудиту медицинской помощи. Клинический аудит -хорошо спланированное исследование, в котором оцениваются ресурсы, процесс и результа-ты медицинской помощи, с целью улучшения каче-ства медицинской помощи [1][2][3][4][5].…”

“…Сеченова (да- Исследование может быть отнесено к особому типу -аудиту медицинской помощи. Клинический аудит -хорошо спланированное исследование, в котором оцениваются ресурсы, процесс и результа-ты медицинской помощи, с целью улучшения каче-ства медицинской помощи [1][2][3][4][5].Оцениваемые ресурсы включают: материальные ресурсы (оборудование, оснащение, медикаменты и т.п. ); интеллектуальные ресурсы (профессиональ-ные компетенции, система подготовки специали-стов, методическая база, информационные системы и др.)…”

Clinical Audit in Primary Care: From Evidence to Practice

“…Electronic Information Systems (EISs) are useful not only for collecting data but also for improving access to research evidence, prompting change through record templates, and introducing revised systems of care (Benjamin, 2008). Unfortunately in many countries, with very advanced care plan (like Canada and the U.S.), there is lack of performance data from the Primary Care because of the non-use of Electronic Medical Records (EMRs) by GPs.…”

“…Measuring the practice through Clinical Audit provides the best available tool to know when change is needed. (Benjamin, 2008). Starey, 2001) According to Benjamin (2008), there are several elements (or tools) to perform an effective Clinical Audit in PC: -The audit should be part of a structured programme and should have a local leader; -Clinical audit should assess structure, process, or outcomes of care; -Audit should ideally be multidisciplinary; -Patients should ideally be part of the audit; -Audit topics should be chosen in relation to high risk, high volume, or high cost problems or in relation to national clinical audits; -Standards should be selected from good quality guidelines; -Action plans should be devised so as to overcome the local obstacles to changes, and to identify the right people for service improvement; -Audits should be repeated in order to find out whether improvements in care have been implemented as a result of a previous cycle; -Specific mechanisms and systems should be developed to monitor and reinforce service improvements once the audit cycle has been completed.…”

“…Today, junior doctors can find that audit is helpful to acquire an understanding of the healthcare process (Benjamin, 2008). …”