The success of Australia’s ‘No Jab, No Pay’ policy at a local level; retrospective clinical audit of a single medical practice assessing incidence of catch‐up vaccinations

2021 ◽  
Author(s):  
Timothy J. Cordingley ◽  
Mark A.G. Wilson ◽  
Kathryn M. Weston
Keyword(s):  
Medical Practice ◽  
Clinical Audit ◽  
Local Level ◽  
Catch Up

Quality assurance and quality improvement in medical practice – Part 3. Clinical audit in medical practice

2012 ◽  
Vol 153 (5) ◽  
pp. 174-183 ◽  
Author(s):  
Sándor Gődény
Keyword(s):  
Quality Assurance ◽  
Quality Improvement ◽  
Medical Practice ◽  
Best Practice ◽  
Clinical Audit ◽  
Clinical Effectiveness ◽  
Service Improvement ◽  
Quality Improvement Process ◽  
Quality Improvement Interventions ◽  
Definition Of

The first two articles in the series were about the definition of quality in healthcare, the quality approach, the importance of quality assurance, the advantages of quality management systems and the basic concepts and necessity of evidence based medicine. In the third article the importance and basic steps of clinical audit are summarised. Clinical audit is an integral part of quality assurance and quality improvement in healthcare, that is the responsibility of any practitioner involved in medical practice. Clinical audit principally measures the clinical practice against clinical guidelines, protocols and other professional standards, and sometimes induces changes to ensure that all patients receive care according to principles of the best practice. The clinical audit can be defined also as a quality improvement process that seeks to identify areas for service improvement, develop and carry out plans and actions to improve medical activity and then by re-audit to ensure that these changes have an effect. Therefore, its aims are both to stimulate quality improvement interventions and to assess their impact in order to develop clinical effectiveness. At the end of the article key points of quality assurance and improvement in medical practice are summarised. Orv. Hetil., 2012, 153, 174–183.

How to increase the impact of clinical guidelines on medical practice

2002 ◽  
Vol 10 (4) ◽  
pp. 545-553
Author(s):  
M. VERSTRAETE
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
General Practitioners ◽  
Medical Practice ◽  
Clinical Guidelines ◽  
Action Plan ◽  
Local Level ◽  
Continuous Medical Education ◽  
Action Effect ◽  
The Impact

Clinical guidelines are not implemented in a simple linear way, their integration in clinical practice is an evolving process influenced by the doctor, the patient and society. Methodologically, it is not easy to evaluate definitively the impact of guidelines. The overall appraisal yields a pessimistic conclusion: in most cases, guidelines do not translate well enough into action (effect on physician behaviour) and are believed to express motivation rather than optimum care. To avoid an academic mirage, recommendations must be disseminated in ways that provide incentives for such action. Those to whom guidelines are directed must be remarkably receptive to, and already prepared to act on the message. There are some indications that the most successful strategy to change the behaviour of clinicians and general practitioners operates at a more local level, and with more careful targeting, than is feasible with a national or regional consensus exercise. In addition, a more forceful action plan and multi-pronged approach (e.g. including continuous medical education) is required.

scholarly journals An Emergency Department Management on Acute Asthma Exacerbations in Children Younger than 12 Years

2021 ◽  
pp. 68-71
Author(s):  
Waqas Latif ◽  
Rehan Zahoor ◽  
Maiera Khalid
Keyword(s):  
Emergency Department ◽  
Medical Practice ◽  
Clinical Audit ◽  
Acute Asthma ◽  
Asthma Management ◽  
Age And Gender ◽  
Asthma Exacerbations ◽  
Emergency Department Management ◽  
And Gender ◽  
Acute Asthma Exacerbations

Objectives: The main objective of the study is to clinically audit and analyse the acute asthma exacerbations in children younger than 12 years regarding management of emergency department. Methods: This clinical audit was done in Bahawal Victoria Hospital, Bahawalpur during January 2020 till June 2020. We retrospectively revised all the files of children aged 0–12 years who were visited for acute asthma in the Paediatric ED of Hospital. All the patients with a diagnosis of “acute asthma,” “wheezing bronchitis,” and “bronchospasm” were included. Results: A total of 864 patients were seen in the Emergency Department during the study. Of these, a total of 293 patients were seen for a presentation of acute asthma. As some patients had multiple visits, the 293 records represented 278 unique patients. For assessing age and gender distribution of the patients, only data from the first visit were used. Otherwise, each record was treated independently for the purpose of analyses. Conclusion: It is concluded that acute asthma management still remains an area of medical practice that continues to have long-standing difficulties.

scholarly journals What influences postgraduate psychiatric trainees’ attitudes to clinical audit?

2017 ◽  
Vol 37 (2) ◽  
pp. 106-110
Author(s):  
S. McWilliams ◽  
S. Schofield
Keyword(s):  
Sample Size ◽  
Medical Practice ◽  
Clinical Audit ◽  
Initial Study ◽  
Formal Training ◽  
Ethical Practice ◽  
Specific Training ◽  
Direct Experience ◽  
Good Medical Practice ◽  
Positive Attitudes

IntroductionClinical audit is an important component of safe and ethical practice but many clinicians cite barriers to engagement in audit.MethodologyA total of 81 basic specialist trainees in psychiatry were surveyed in terms of their basic demographic details and their knowledge, direct experience and attitudes in relation to clinical audit.ResultsAmong the 49 (60.5%) who responded, 57.1% had received formal training in audit, but only 20.4% had received more than four hours of training in their whole career. The median positivity score was 30 out of a possible 54 (range 12–40), suggesting that participating trainees were barely more than ‘undecided’ overall when it comes to positive attitudes to clinical audit. Age, nationality and specific training did not predict attitudes to clinical audit. Gender, years of clinical experience and direct experience of clinical audit did not significantly predict attitudes to clinical audit, but these findings are at odds with some previous research.DiscussionMuch work is needed in improving postgraduate trainees’ attitudes to clinical audit, given that clinical audit is essential for good medical practice. Ours is an initial study of this area of training limited by sample size and the narrowness of the group tested. Further study of other specialities, higher trainees and consultant trainers would further enhance our understanding.

Sign in / Sign up

Export Citation Format

Share Document