+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Audit of audit: review of a clinical audit programme in a teaching hospital intensive care unit

Audit of audit: review of a clinical audit programme in a teaching hospital intensive care unit

British Journal of Hospital Medicine 73(9): 526-529

A comprehensive review of the clinical audit programme in a teaching hospital intensive care unit. A retrospective analysis of the clinical audit projects undertaken within the intensive care unit over the preceding 2 years and compared with published national guidelines for clinical audit. A 27-bedded teaching hospital intensive care unit in the UK. Each audit project was reviewed independently by two assessors. The following questions were assessed. 1. Were the projects true audits? 2. Were they prospective of retrospective? 3. Did the projects have input from appropriate members of the multidisciplinary team. 4. How many of the audit projects were re-audits? 5. Of the re-audits how many showed evidence of service improvement? each audit project was also scored against the Audit Project Assessment Tool produced by the UK Clinical Governance Support Team. Of the twenty five audit projects reviewed twenty two were considered to be true audits. All of the projects used only retrospective data. Audit projects were contributed from all sections of the multidisciplinary critical care team but there were few truly multidisciplinary projects. Four of the audit projects were re-audits, of these three showed service improvement and one showed deterioration. Of the twenty two true audit projects reviewed, eleven were classified as good quality projects using the Audit Project Assessment Tool. Despite the clinical audit programme being active and well supported, objective evidence of clinical governance benefit was lacking. The overall clinical audit programme has been revitalised by a series of improvements since undertaking this review and this approach is recommended to other organizations who are interested in improving their clinical audit performance.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 051714850

Download citation: RISBibTeXText

PMID: 23124406

Related references

Audit a computerized database to facilitate clinical audit and ward management in the intensive care unit. Intensive Care Medicine 16(7): A482, 1990

An audit of surgical admissions to the intensive care unit of the Lagos University Teaching Hospital (1997 - 2002). Nigerian Postgraduate Medical Journal 13(2): 153-156, 2006

Laboratory-based clinical audit as a tool for continual improvement: an example from CSF chemistry turnaround time audit in a South-African teaching hospital. Biochemia Medica 26(2): 194-201, 2016

Antibiotic prescription practice in an intensive care unit using twice-weekly collection of screening specimens: a prospective audit in a large UK teaching hospital. Journal of Hospital Infection 59(2): 90-95, 2005

AUDIT-C, AUDIT-3 and AUDIT-QF in screening risky drinking among Finnish occupational health-care patients. Drug and Alcohol Review 29(5): 563-567, 2010

Two Common Pitfalls in Clinical Audit: Failing to Complete the Audit Cycle and Confusing Audit with Research. British Journal of Occupational Therapy 62(6): 238-243, 1999

The assessment of criterion audit cycles by external peer review - when is an audit not an audit?. Journal of Evaluation in Clinical Practice 13(3): 352-357, 2007

The importance of a supportive environment in clinical audit: a pilot study of doctors' engagement with the NHS National PET-CT audit programme. Nuclear Medicine Communications 35(10): 1052-1057, 2014

Difficulties for the detection of positive signs of sacroiliitis in spondyloarthritides by magnetic resonance imaging (MRI) in everyday clinical practice. Results from an audit circle (audit and re-audit). Clinical and Experimental Rheumatology 29(3): 594-595, 2011

A clinical audit of the management of patients with a tracheostomy in an Australian tertiary hospital intensive care unit: Focus on speech-language pathology. International Journal of Speech-Language Pathology 13(6): 518-525, 2011

Clinical audit of an intensive care unit. Anaesthesia and Intensive Care 10(3): 233-238, 1982

Intensive care unit audit. Prince Henry's Hospital 1983-4. Australian Clinical Review 6(20): 12-16, 1986

An audit of deaths occurring in hospital after discharge from the intensive care unit. Anaesthesia and Intensive Care 27(2): 185-189, 1999

Can medical files be used to audit hospital health care? Results of a regional audit of hospital file quality. Presse Medicale 26(40): 1962-1965, 1997

Trauma care audit using Srinagarind hospital's audit filter. Journal of the Medical Association of Thailand 91(11): 1714-1718, 2008