scholarly journals Clinical care and other categories posters: Clinical audit/Service evaluation

2021 ◽  
Vol 38 (S1) ◽  
Keyword(s):  
Clinical Audit ◽  
Clinical Care ◽  
Service Evaluation

Improving monitoring for metabolic syndrome using audit

2011 ◽  
Vol 28 (3) ◽  
pp. i-iv ◽  
Author(s):  
Alan Murtagh ◽  
Radu Petrovici ◽  
Wendy Wong ◽  
Curtis Obadan ◽  
Olufemi Solanke ◽  
...  
Keyword(s):  
Systematic Review ◽  
Professional Competence ◽  
Clinical Audit ◽  
Clinical Care ◽  
Improve Patient Care ◽  
Medical Council ◽  
Medical Practitioners ◽  
Quality Improvement Process ◽  
Improve Patient ◽  
Explicit Criteria

Audit has been defined as “a quality improvement process that seeks to improve patient care and outcome, through systematic review of care and comparison with explicit criteria, followed by the implementation of change”. As of May 2011, under the Medical Practitioners Act 2007, doctors are legally obliged to join in professional competence schemes, following requirements set by the Medical Council. These include the obligation for doctors to conduct one clinical audit per year. In Ireland and elsewhere, audit provides an opportunity for services to create an “environment in which clinical care will flourish”.

scholarly journals The first 6 weeks – setting up a UK urgent dental care centre during the COVID-19 pandemic

2020 ◽  
Author(s):  
Emily Carter ◽  
Charlotte C Currie ◽  
Abisola Asuni ◽  
Rachel Goldsmith ◽  
Grace Toon ◽  
...  
Keyword(s):  
Dental Care ◽  
Care Service ◽  
Clinical Care ◽  
Service Evaluation ◽  
Urgent Care ◽  
List Type ◽  
Care Centre ◽  
North East ◽  
The North ◽  
Patient Pathways

AbstractIntroductionThe COVID-19 pandemic has posed many challenges, including provision of urgent dental care. This paper presents a prospective service evaluation during establishment of urgent dental care in the North-East of England over a six-week period.AimTo monitor patient volumes, demographics and outcomes at the North-East urgent dental care service and confirm appropriate care pathways.Main Outcome MethodsData were collected on key characteristics of patients accessing urgent care from 23rd March to 3rd May 2020. Analysis was with descriptive statistics.ResultsThere were 1746 patient triages, (1595 telephone and 151 face-to-face) resulting in 1322 clinical consultations. The most common diagnoses were: symptomatic irreversible pulpitis or apical periodontitis. 65% of clinical consultations resulted in extractions, 0.5% an aerosol generating procedure. Patients travelled 25km on average to access care, however this reduced as more urgent care centres were established. The majority of patients were asymptomatic of COVID-19 and to our knowledge no staff acquired infection due to occupational exposure.ConclusionThe urgent dental care centre effectively managed urgent and emergency dental care, with appropriate patient pathways established over the 6-week period. Dental preparedness for future pandemic crisis could be improved and informed by this data.Three In Brief PointsA summary is given of how urgent dental care was established in the North East of England during the COVID-19 pandemic which may help with future preparedness for pandemics.Aerosol generating procedures were almost always avoided in the delivery of urgent dental careA telephone triage system was effectively used to determine who needed clinical care, and to separate symptomatic, asymptomatic and shielding patients, with very few failures in triage noted.

Collaborative diabetes virtual clinics – a service evaluation and clinical audit

2015 ◽  
Vol 12 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Rosarie Atkinson ◽  
Mark Chamley ◽  
Dulmini Kariyawasam ◽  
Angus Forbes
Keyword(s):  
Clinical Audit ◽  
Service Evaluation

Clinical audit in hospital

1993 ◽  
Vol 101 ◽  
pp. 115-121
Author(s):  
D. A. Heath
Keyword(s):  
Computer Technology ◽  
Clinical Audit ◽  
Clinical Care ◽  
General Medicine ◽  
Case Note ◽  
Medical Audit ◽  
Specific Topic ◽  
Main Effect ◽  
Limited Support ◽  
Clinical Records

SynopsisAudit within general medicine originated from a review of patient clinical records. The main effect of such activities was to lead to an improvement of documentation and a realisation that audit could be performed amicably. Once case note reviews had been established it was usually necessary to progress to specific topic review. Such audits required more input of doctors' time, and to be performed properly needed the support of committed audit staff and limited support from computer technology.The primary aim of medical audit is to improve clinical care. Although an important component it is not the primary purpose of audit to save money.

Non-collagen pathogenic variants resulting in the osteogenesis imperfecta phenotype in children: a single-country observational cohort study

2021 ◽  
pp. archdischild-2021-322911
Author(s):  
Patrick Thornley ◽  
Nicholas Bishop ◽  
Duncan Baker ◽  
Joanna Brock ◽  
Paul Arundel ◽  
...  
Keyword(s):  
Genetic Testing ◽  
Osteogenesis Imperfecta ◽  
Clinical Care ◽  
Service Evaluation ◽  
Genetic Changes ◽  
Additional Information ◽  
Pathogenic Variants ◽  
Observational Cohort ◽  
Collagen Genes ◽  
Evaluation Project

Background/ObjectivesIn England, children (0–18 years) with severe, complex and atypical osteogenesis imperfecta (OI) are managed by four centres (Birmingham, Bristol, London, Sheffield) in a ‘Highly Specialised Service’ (HSS OI); affected children with a genetic origin for their disease that is not in COL1A1 or COL1A2 form the majority of the ‘atypical’ group, which has set criteria for entry into the service. We have used the data from the service to assess the range and frequency of non-collagen pathogenic variants resulting in OI in a single country.MethodsChildren with atypical OI were identified through the HSS OI service database. All genetic testing for children with OI in the service were undertaken at the Sheffield Diagnostic Genetics Service. Variant data were extracted and matched to individual patients. This study was done as part of a service evaluation project registered with the Sheffield Children’s Hospital Clinical Governance Department.ResultsOne hundred of 337 children in the HSS met the ‘atypical’ criteria. Eighty have had genetic testing undertaken; 72 had genetic changes detected, 67 in 13 genes known to be causative for OI. The most frequently affected genes were IFITM5 (22), P3H1 (12), SERPINF1 (8) and BMP1 (6).ConclusionAmong children with more severe forms of OI (approximately one-third of all children with OI), around 20% have pathogenic variants in non-collagen genes. IFITM5 was the most commonly affected gene, followed by genes within the P3H1 complex. These data provide additional information regarding the likelihood of different genetic origins of the disease in children with OI, which may influence clinical care.

Clinical Audit in Emergency Medicine

2003 ◽  
Vol 10 (3) ◽  
pp. 181-187 ◽  
Author(s):  
CH Chung
Keyword(s):  
Emergency Medicine ◽  
Quality Improvement ◽  
Healthcare Professionals ◽  
Medical Literature ◽  
Clinical Performance ◽  
Clinical Audit ◽  
Clinical Care ◽  
Emergency Physicians ◽  
Cyclical Process ◽  
Audit Cycle

Clinical audit is the review of clinical performance against agreed standards, and the refining of clinical practice as a result – a cyclical process of quality improvement in clinical care. The different steps of the clinical audit cycle are discussed. Publications on clinical audit in connection with Emergency Medicine are scarce in the medical literature. Clinical audit should be made compulsory for all healthcare professionals providing clinical care, and emergency physicians are no exceptions.

Developing research knowledge and capability in undergraduate nurses: evaluation of targeted placements

2021 ◽  
pp. 174498712110031
Author(s):  
Julie C Menzies ◽  
Karl Emms ◽  
Tracey Valler
Keyword(s):  
Student Development ◽  
Clinical Care ◽  
Service Evaluation ◽  
Service Planning ◽  
Graduate Study ◽  
Research Knowledge ◽  
One Year ◽  
Evaluation Project ◽  
Insight Into ◽  
Research Grant

Background There are few opportunities for undergraduate nurses to undertake experiential learning about research design and conduct. The project aim was to implement and evaluate a placement to support the development of research knowledge and skills. Methods Establishment of a four-week placement, with allocation to a registered quality improvement/service evaluation project. Evaluation was obtained through questionnaires; student experience (pre, post and one year), supervisor experience and organisational impact (presentations, conference and grant submissions). Results 24 students (five cohorts) were allocated to 17 projects (2017–2019). 100% of students enjoyed the placement, gained research knowledge and insight into clinical care. At one year ( n = 15), 88% of students would consider undertaking a service evaluation and 65% ( n = 11) would consider further post-graduate study. All supervisors ( n = 20) reported the initiative valuable for student development. All project results were shared with relevant local teams to enable service planning and results from five projects been presented at eight national and international conferences. Three projects have contributed directly to further research grant submissions. Conclusion The programme supports the development of undergraduate nurses to be research ready and facilitates organisations to address high-priority safety and quality topics. Further resources are required to be able to increase placement capacity.

P-28 The clinical care tracker (CCT) service evaluation

2015 ◽  
Vol 5 (Suppl 3) ◽  
pp. A10.2-A10
Author(s):  
Hayley Prout ◽  
Anthony Byrne ◽  
Annmarie Nelson ◽  
Karen Stephens ◽  
Joanne Hayes
Keyword(s):  
Clinical Care ◽  
Service Evaluation
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