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Regulation, Accreditation, and the Compliance Function
Published in Steven A. Wartman, Confluence of Policy and Leadership in Academic Health Science Centers, 2022
Cynthia E. Boyd, Larry J. Goodman
Notwithstanding the reason for the audit or review, the primary purpose of conducting such reviews is to measure the organization’s level of compliance with specified health-care rule(s). The scope, duration, and the periodicity of an audit or review will be dictated by the circumstance under which it is being conducted and the type and/or extent of the findings once the review has been completed.
General Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Rebecca Fish, Aisling Hogan, Aoife Lowery, Frank McDermott, Chelliah R Selvasekar, Choon Sheong Seow, Vishal G Shelat, Paul Sutton, Yew-Wei Tan, Thomas Tsang
What is an audit?An audit is a process used by clinicians to improve patient care by assessing clinical practice, comparing against accepted standards and making changes if necessary.
Evaluating practice in complementary and alternative medicine
Published in Geraldine Lee-Treweek, Tom Heller, Hilary MacQueen, Julie Stone, Sue Spurr, Complementary and Alternative Medicine: Structures and Safeguards, 2020
Tom Heller, Dione Hills, Elaine Weatherley-Jones
There is no single, agreed, simple definition of what an evaluation is. It can also be difficult to clarify the distinctions between evaluation, research and audit. Research in the context of health and social care usually aims to establish what is best practice. It is often designed to be replicated and so that its results can be generalised to other similar situations. It aims to generate new knowledge or increase the sum of knowledge. Research is usually initiated by the researchers and may be theory driven. In a clinical or therapeutic setting, audit usually involves systematically looking at the procedures used for diagnosis, care and treatment; examining how the associated resources are used; and investigating the effect care has on the outcome and quality of life for people having that treatment or taking part in the project being audited. Evaluation, which is the main focus of this chapter, includes the systematic empirical examination of a service or a social programme’s design, implementation and impacts with a view to judging its merit, worth and significance. Evaluation usually reduces uncertainty for people making decisions about the service, helps facilitate service improvement and often serves a political function.
Implementing a Suicide Audit in Montreal: Taking Suicide Review Further to Make Concrete Recommendations for Suicide Prevention
Published in Archives of Suicide Research, 2023
Alain Lesage, Gabrielle Fortin, Fabienne Ligier, Ian Van Haaster, Claude Doyon, Charlie Brouillard, Diane Daneau, Jessica Rassy
Clinical audits of suicide propose to ameliorate the present shortcomings and provide a systematic examination of suicides. Audits are a component of Quality improvement and provide a portrait of the clinical issues as well as practices and areas that may require improvement. An audit will yield recommendations; suggestions for change are based upon a comparison with established guidelines and standards (Oakley, 2011). The Canadian Psychiatric Association position paper on Quality Review in Psychiatry (Reiss, Jarmain, & Vasudev, 2018) has stated that over the last 20 years, quality improvement has shifted from focusing on error and the individual care provider, to focusing on the system, health care in a multidisciplinary setting, human factor engineering and improved design. Among other recommendations, organizations are encouraged to develop a clear process by which clinical care is reviewed from a perspective of quality of care.
Adherence of physical therapy with clinical practice guidelines for the rehabilitation of stroke in an active inpatient setting
Published in Disability and Rehabilitation, 2019
Ajimsha M. S., Smithesh Kooven, Noora Al-Mudahka
The subdivisions of the chart audit checklist were selected based on the assessment, goal settings and the four management domains of PAAS (physical therapy after acute stroke) guideline, namely (1). Functional mobility, strength and balance training, (2). Gait and cardiovascular training, (3). Upper limb training, (4). Cognitive and somatosensory training (Supplementary Table S1). A pilot chart audit questionnaire was developed by the stroke physical therapy team from the study group. As a part of test validation, three physical therapy specialists with stroke rehabilitation experience from other rehabilitation facilities were given the designed questionnaire to trial on three randomly selected patient files and later were asked to mark any questions that were unclear to them when they were auditing the files. After this trial, a discussion session was organized to ensure that their understanding of the audit questionnaire was the same as what was intended. Two questions were adjusted based on the “internal pre-testing” measure. Two separate audits were performed during the study period by “internal and external” auditors. Internal auditors were from the study group and external auditors were randomly selected from the acute neuro rehabilitation facility of the mother health organization. The results gathered by the internal and external auditors were compared, which enabled any points of difference to be discussed and clarified between them. One minor arrangement was suggested by the external auditors regarding the goal setting and an explanation was coined in the point “short term goals lead to long term goals”.
A knowledge translation intervention designed using audit and feedback and the Theoretical Domains Framework for physical therapists working in inpatient rehabilitation: A case report
Published in Physiotherapy Theory and Practice, 2019
Wendy Romney, Nancy Salbach, James Scott Parrott, Judith E Deutsch
Attaining support from the organization and clinicians to design the KT intervention may overcome barriers to use including organizational input and priority (Duncan and Murray, 2012; Swinkels et al., 2011). Russell et al. (2010) found that following a KT intervention, PTs reported that supervisor support positively influenced their use of pediatric outcome measures, but the intervention was developed by the researchers without input from the supervisors. In addition, clinician engagement when designing a KT intervention can overcome barriers such as lack of support and lack of feedback between colleagues (Duncan and Murray, 2012; Swinkels et al., 2011). Clinician engagement in intervention design has been used in a variety of ways from training senior PTs in knowledge brokering strategies to facilitate behavior change (Russell et al., 2010), to meeting with clinicians for problem-solving techniques (Perry, Zeleznik, and Breisinger, 2014), and using PTs in every step of design and implementation of the intervention (Tilson and Mickan, 2014). Audit and feedback may be a useful strategy that can engage clinicians and support the organization (Ivers et al., 2012). Charts are audited and feedback is provided to the clinicians on the outcome with the intent of changing behavior (Ivers et al., 2012). Audit and feedback completed by an external investigator can also be used to inform the organization about documentation behaviors of their clinicians.