Clinical Audit. Professor (Dr.) Shamsun Nahar MBBS, MSC (LONDON) PhD (Cambridge, UK). Objectives of the session. At the end of the session the students should be able to define clinical audit Importance of clinical audit Able to discuss the audit cycle
Professor (Dr.) Shamsun Nahar
MBBS, MSC (LONDON)
PhD (Cambridge, UK)
At the end of the session the students should
The systematic critical analysis of the quality of health care, including
1. Critical analysis of your own skills and ways of working for self improvement
2. Critical look at the system that delivers care to your patients (i.e. your environment)
The clinical audit process seeks to identify areas for service improvement, develop & carry out action plans to rectify or improve service provision and then to re-audit to ensure that these changes have an effect
This should be in the form
of a statement
e.g. All patients with hypertension who smoke should be offered smoking cessation advice.
e.g. The temperature of the refrigerator in the immunization room
When the criterion has
been defined at a numerical
level, it is referred to as a
e,g.100% patients with hypertension who smoke should be offered smoking cessation advice.
e.g. The temperature of the refrigerator in the immunization room should not exceed + 8oC
Criteria should be
Standards should be
A useful framework has been provided by Donabedian (1966) who classified topics under three headings:
STRUCTURE INDICATORS , PROCESS INDICATORS , OUTCOME INDICATORS
Commitment to Act
Standard of Practice
No New Treatment
Clinical audit is not research, but it does make use of research methodology in order to assess practice.
Before beginning, you might want to read: What is Critical Appraisal? - Critical appraisal is the process of carefully and systematically examining research to judge its trustworthiness, and its value and relevance in a particular context.
A process in which students take the initiative. It involves five steps
Desire for learning
'Learning to learn' is a crucial skill.
The following skills help you succeed at being a self-directed learner.
Sources of learning