scholarly journals The Current Status of Radiological Clinical Audit and Feedback on the ESR Guide to Clinical Audit in Radiology and the ESR Clinical Audit Tool (Esperanto) – an ESR Survey of European Radiology Departments

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Keyword(s):  
Clinical Audit ◽  
Audit And Feedback ◽  
Current Status ◽  
Audit Tool ◽  
European Radiology

scholarly journals The current status of uptake of European Basic Safety Standard (2013/59/Euratom) requirements: results of a follow-up survey in European radiology departments

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
◽  
David C. Howlett ◽  
Adrian P. Brady ◽  
Nuria Bargalló ◽  
Guy Frija ◽  
...  
Keyword(s):  
Radiation Protection ◽  
Clinical Audit ◽  
Current Status ◽  
European Radiology ◽  
Safety Standards ◽  
Mandatory Requirement ◽  
European Society Of Radiology ◽  
Survey Results ◽  
Initial Survey ◽  
Variable Compliance

AbstractThe recently implemented European Council Basic Safety Standards Directive (BSSD), 2013/59/Euratom lays down core radiation protection standards for European radiology departments, including a mandatory requirement for supporting processes of clinical audit. A repeat survey on behalf of the European Society of Radiology (ESR) was undertaken in February 2021, involving the ESR EuroSafe Imaging Star department network, to re-assess compliance with selected key BSSD requirements following an initial survey in 2018 where variable compliance was demonstrated. 61% (78/128) of eligible departments participated and overall the survey results revealed a mixed picture in terms of implementation of BSSD requirements when compared to the 2018 survey with both improvement and deterioration observed. This pattern was seen also in relation to supporting processes of regulatory audit and re-audit. Higher levels of “skipping” of responses were also observed in 2021. These findings were unexpected in light of the interventions in relation to audit (clinical and regulatory) and radiation protection undertaken by the ESR and other organisations in recent years, but can reasonably be explained by the onset of the COVID-19 pandemic, with consequent significant disruption of radiology services. The 2021 survey results do serve to highlight again the need for co-ordinated intervention involving relevant European bodies, organisations and governmental agencies to address the important issues raised by this survey. The European Commission clinical audit and radiation protection initiatives, QuADRANT, led by the ESR, and SAMIRA will act as important drivers for improvement in patient safety, experience and outcomes across Europe.

Nursing staff perceptions regarding the clinical audit tool used for relicensing inspections within eThekwini private hospitals in South Africa

2018 ◽  
Vol 31 (6) ◽  
pp. 502-519
Author(s):  
Jamila Chellan ◽  
Nokuthula Maureen Sibiya
Keyword(s):  
Nursing Staff ◽  
Health Care Services ◽  
Nurse Managers ◽  
Clinical Audit ◽  
Mixed Method Research ◽  
Audit Tool ◽  
Staff Perceptions ◽  
Quality Health Care ◽  
Private Hospitals ◽  
Content Type

Purpose The purpose of this paper is to assess nursing staff perceptions regarding the clinical audit tool used for relicensing inspections within private hospitals in eThekwini district. Design/methodology/approach An exploratory sequential mixed method research design was used with a qualitative first phase involving a total population of 40 nurse managers through purposive sampling. Nurse managers (n=24) were interviewed. This was followed by a quantitative phase in which a structured questionnaire was administered to nurses (n=270) who were randomly sampled for the study from (n=4) hospitals. Documentation review, a third phase was used to corroborate the findings of the first two phases of the study. Findings The results of the study showed that the participants perceptions of the selected private hospitals in eThekwini district is that they have not fully implemented the approach to practice standards and healthcare audits in relation to three clinical domains of the National Core Standards and the Batho Pele principles. These findings were significant and denoted the need for a standardised clinical audit tool for private hospitals in eThekwini district. Research limitations/implications This study was confined to an independent group of hospitals and the findings may not be suitable for generalising across all private hospitals in eThekwini district. Originality/value These findings led to the development of a clinical audit tool with measurements representing elements of care that are critical to the provision of safe, quality health care services.

scholarly journals Use of a simplified clinical audit tool to evaluate hypertension and diabetes management in primary care clinics in Jamaica

2020 ◽  
Vol 22 (7) ◽  
pp. 1275-1281
Author(s):  
Jacqueline P. Duncan ◽  
Marshall K. Tulloch‐Reid ◽  
Heather Reid‐Jones ◽  
J. Peter Figueroa
Keyword(s):  
Primary Care ◽  
Diabetes Management ◽  
Clinical Audit ◽  
Audit Tool ◽  
Primary Care Clinics

scholarly journals Evaluating Aboriginal and Torres Strait Islander health promotion activities using audit and feedback

2014 ◽  
Vol 20 (4) ◽  
pp. 339 ◽  
Author(s):  
Lynette O'Donoghue ◽  
Nikki Percival ◽  
Alison Laycock ◽  
Janya McCalman ◽  
Komla Tsey ◽  
...  
Keyword(s):  
Health Promotion ◽  
Best Practice ◽  
Relevant Information ◽  
Northern Territory ◽  
Audit And Feedback ◽  
Limited Capacity ◽  
Audit Tool ◽  
Continuous Quality ◽  
Primary Health ◽  
Torres Strait Islander Health

Indigenous primary health care (PHC) services have been identified as exemplary models of comprehensive PHC; however, many practitioners in these services struggle to deliver effective health promotion. In particular, practitioners have limited capacity and resources to evaluate health promotion activities. Best practice health promotion is important to help address the lifestyle and wider factors that impact on the health of people and communities. In this paper, we report on the acceptability and feasibility of an innovative approach for evaluating the design of health promotion activities in four Indigenous PHC services in the Northern Territory. The approach draws on a popular continuous quality improvement technique known as audit and feedback (A&F), in which information related to best practice is gathered through the use of a standardised audit tool and fed back to practitioners. The A&F approach has been used successfully to improve clinical service delivery in Indigenous PHC; however, the technique has had limited use in health promotion. The present study found that facilitated participatory processes were important for the collection of locally relevant information and for contributing to improving PHC practitioners’ knowledge and understanding of best practice health promotion.

scholarly journals Audit of psychiatric discharge summaries: completing the cycle

2004 ◽  
Vol 28 (9) ◽  
pp. 329-331 ◽  
Author(s):  
Isabelle Crossan ◽  
David Curtis ◽  
Yong-Lok Ong
Keyword(s):  
Clinical Practice ◽  
Clinical Audit ◽  
Audit And Feedback ◽  
Clinical Implications ◽  
Considerable Variability ◽  
Clinical Tool ◽  
Barriers To Change ◽  
Adult Psychiatry ◽  
Psychiatric Department ◽  
Discharge Summaries

Aims and MethodTo examine and attempt to improve the recording of information within psychiatric discharge summaries in an adult psychiatry department, by means of audit and feedback. Psychiatric discharge summaries from an acute adult psychiatric department were examined to determine the recording of ten selected items. Following feedback and discussion, the audit was repeated after 6 months.ResultsFifty-one discharge summaries were examined on the first occasion and 53 on the second. There was considerable variability in the standard of recording across the selected items, but the patterns of recording were similar at both stages. No improvement was found in the recording of information at the second audit.Clinical ImplicationsAudit and feedback alone may have little effect in changing clinical practice. This study examines the experience of undertaking clinical audit from a trainee's perspective, illustrates barriers to change and highlights the possible limitations of audit as a clinical tool.

The feasibility of a clinical audit tool to investigate stillbirth in Australia - a single centre experience

2018 ◽  
Vol 59 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Christoph Lehner ◽  
Amanda Harry ◽  
Anita Pelecanos ◽  
Lauren Wilson ◽  
Kate Pink ◽  
...  
Keyword(s):  
Clinical Audit ◽  
Audit Tool ◽  
Single Centre ◽  
Single Centre Experience

scholarly journals Performance indicators for radiation protection management: suggestions from the European Society of Radiology

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Keyword(s):  
Radiation Protection ◽  
Performance Indicators ◽  
Clinical Audit ◽  
Legal Framework ◽  
Audit Tool ◽  
Safety Standards ◽  
Inclusive Approach ◽  
European Society Of Radiology ◽  
Evaluation Of Data ◽  
Selection Of

AbstractIn 2013, the new European Basic Safety Standards Directive 2013/59/Euratom (BSS Directive), which defines the new legal framework for the use of ionising radiation in medical imaging and radiotherapy, was published. In 2014, the ESR EuroSafe Imaging Initiative was founded with a goal in mind “to support and strengthen medical radiation protection across Europe following a holistic, inclusive approach”. To support radiology departments in developing a programme of clinical audit, the ESR developed a Guide to Clinical Audit and an accompanying audit tool in 2017, with an expanded second edition released in 2019 and published under the name of Esperanto – ESR Guide to Clinical Audit in Radiology and the ESR Clinical Audit Tool, 2019. Audits represent specific aspects at a certain point in time, usually with retrospective evaluation of data. Key performance indicators (KPIs), on the other hand, are intended to enable continuous monitoring of relevant parameters, for example to provide warnings or a dashboard. KPIs, which can, for example, be recorded automatically and visualised in dashboards, are suitable for this purpose. This paper will discuss a selection of indicators covering different areas and include suggestions for their implementation.

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