Clinical audit and quality improvement - time for a rethink?

被引:32
作者
Bowie, Paul [1 ]
Bradley, Nicholas A. [1 ]
Rushmer, Rosemary [2 ,3 ]
机构
[1] NHS Educ Scotland, Glasgow G3 8BW, Lanark, Scotland
[2] Univ Dundee, Social Dimens Hlth Inst, Dundee DD1 4HN, Scotland
[3] Univ St Andrews, Social Dimens Hlth Inst, St Andrews KY16 9AJ, Fife, Scotland
关键词
clinical audit; education; improvement methodologies; patient safety; quality;
D O I
10.1111/j.1365-2753.2010.01523.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Rationale and aim Evidence of the benefits of clinical audit to patient care is limited, despite its longevity. Additionally, numerous attitudinal, professional and organizational barriers impede its effectiveness. Yet, audit remains a favoured quality improvement (QI) policy lever. Growing interest in QI techniques suggest it is timely to re-examine audit. Clinical audit advisors assist health care teams, so hold unique cross-cutting perspectives on the strategic and practical application of audit in NHS organizations. We aimed to explore their views and experiences of their role in supporting health care teams in the audit process.
引用
收藏
页码:42 / 48
页数:7
相关论文
共 46 条
[1]  
[Anonymous], GOOD MED PRACT
[2]  
[Anonymous], 2005, 7 STEPS PAT SAF PRIM
[3]  
[Anonymous], 2005, 6 SHIPM INQ
[4]  
[Anonymous], 2001, LEARN BRIST REP PUBL
[5]  
Barach P., 2003, ANN INTERN MED, V138, P12
[6]  
BARTON A, 1994, MED AUDIT NEWS, V4, P78
[7]  
Black N., 2003, SOC SCI MED, V6, P849
[8]   The assessment of criterion audit cycles by external peer review - when is an audit not an audit? [J].
Bowie, Paul ;
Cooke, Sarah ;
Lo, Penny ;
McKay, John ;
Lough, Murray .
JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2007, 13 (03) :352-357
[9]  
Davies H., 2006, HEALTHCARE PROFESSIO
[10]  
Department of Health, 2001, BUILD SAF NHS PAT