Defining essential data for audit in general practice.

Difford, Frederick

doi:10.1136/bmj.300.6717.92

Cited by 11 publications

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“…Difford (1992) defines audit as ‘examining what we are doing with the aim of making improvements in the quality of care of patients’. Health professionals are now expected to demonstrate that their care is not only of a high standard but is also clinically effective ( Morrell 1996).…”

Section: Introductionmentioning

confidence: 99%

The quality of assessment of patients with chest pain: the development of a questionnaire to audit the nursing assessment record of patients with chest pain

Meurier¹

1998

Journal of Advanced Nursing

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The quality of nursing and medical records has been a source of concern for many years (Audit Commission 1995). This study has two main purposes: firstly, to design an audit questionnaire to evaluate the quality of nursing assessment records of patients with chest pain; and secondly, to make some tentative conclusions about the quality of nursing assessment of patients with a chest pain in order to pinpoint areas that need further study. A sample of 30 patients was selected for this study on the basis of some well-defined inclusion criteria. The nursing assessment notes of these patients were evaluated using the audit questionnaire. It was found that the questionnaire was effective in gleaning appropriate information from the nursing notes to be able to derive some tentative conclusions about the quality of nursing assessment of patients with chest pain, i.e., on the whole nursing assessment was found to be superficially carried out, potentially making errors of omission and commission likely to occur. The inter-rater reliability of the questionnaire was found to be good. The questionnaire also seems to measure what it purports to measure (i.e. has content validity). However, this needs to be further checked by using a larger sample.

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Section: Introductionmentioning

confidence: 99%

The quality of assessment of patients with chest pain: the development of a questionnaire to audit the nursing assessment record of patients with chest pain

Meurier¹

1998

Journal of Advanced Nursing

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“…Crombie & Fleming (1988) and Webb et al (1991) have shown that data are being collected on practice activity but are often poorly focused. Difford (1990) suggested some essential data for audit in general practice, delegating its gathering, thereby releasing time for general practitioners to interpret them. Batstone (1990) describes the process of medical audit as a stimulus to doctors working as a group, encouraging modification of attitudes and approaches to clinical problems.…”

Section: Introductionmentioning

confidence: 99%

Audit: trainers' and trainees' attitudes and experiences

Lough¹,

McKay²,

Murray³

1995

Medical Education

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Little is known about the audit activity taking place among general practitioners as part of their vocational training. All 155 trainers and their trainees in the West of Scotland were asked about their attitudes to and their experiences of audit. Two hundred and thirty-five replies were received from 310 questionnaires sent, giving an 85% response from trainers and 67% from trainees. Both trainers and trainees had positive attitudes to audit with regard to its use: for assessing work (87% of trainers, 97% trainees); as an appropriate use of resources (92% of trainers, 78% of trainees); as an appropriate use of time (91% trainers, 76% trainees); in improving patient care (96% of trainers, 76% of trainees). Most trainers (90%) and 52% of trainees had started collecting data with a view to starting an audit, 56% of trainers and 23% of trainees had personally set a standard and 54% of trainers but only 12% of trainees had completed a cycle of audit. Despite very positive attitudes to audit there is a problem completing a cycle of audit, particularly among trainees. They will thus be denied the benefit of negotiating and evaluating change as part of their training, skills which will be necessary to ensure a lifelong awareness of the quality of care they are providing.

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“…It is helpful to make the distinction between criteria and standards (Difford 1990). Standards define the target for compliance with a set of criteria (Black 1990a and Chapter 1).…”

Section: Establishment Of Standards and Criteriamentioning

confidence: 99%

The measurement of process and the role of information technology

Ryan

Dodd

1993

Proc., Sect. B Biol. sci.

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Link to this article: http://journals.cambridge.org/abstract_S0269727000005650How to cite this article: M. P. Ryan and W. Dodd (1993). The measurement of process and the role of information technology. SynopsisProcess of care is the most immediate, relevant and susceptible to improvement of Donabedian's three elements of quality assurance. To place the study of process in context, the history of quality assurance in English-speaking countries is reviewed, with particular emphasis on the U.S.A. A range of methods are examined in detail and examples are provided to illustrate their strengths and weaknesses. Particular attention is paid to the use of explicit and implicit criteria. The importance of information technology in monitoring the process of care cannot be over-stated. Limited audit is possible with manual records but all substantial projects require computer support. The value of capturing data from operational systems rather than from dedicated projects is emphasised. Attention is drawn to the key importance of structured records and minimum data sets; these allow information to be pooled and process studies to be generalised. Examples are given of quality assurance projects which have used information technology. Finally potential future developments are reviewed with particular reference to clinical guidelines and computer-based clinical decision support systems. M. P. Ryan and W. Doddthis reason it must be recognised that the use of information technology does not provide the solution to the problems associated with previous attempts to measure process (WHO 1989). It must be seen as an aid whose importance will grow as techniques in the evaluation of process improve with experience.

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Defining essential data for audit in general practice.

Cited by 11 publications

References 0 publications

The quality of assessment of patients with chest pain: the development of a questionnaire to audit the nursing assessment record of patients with chest pain

The quality of assessment of patients with chest pain: the development of a questionnaire to audit the nursing assessment record of patients with chest pain

Audit: trainers' and trainees' attitudes and experiences

The measurement of process and the role of information technology

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