دانلود رایگان مقاله انگلیسی حسابرسی های بالینی برای بهبود مراقبت های حیاتی: قسمت 2 - الزویر 2018

abstract

Clinical audits are an essential part of the cycle designed to ensure that patients receive the best quality of care. By measuring the care delivered against established best practice standards, it becomes possible to identify shortcomings and to plan targeted strategies and processes for continuous improvement. The success of a clinical audit depends upon defined goals, motivation of stakeholders, appropriate tools and resources, and clear communication. In part 1 of this series, an overview of the structures and processes needed to prepare and collect data for clinical audits in the critical care setting was provided [A.J. Ullman, G. Ray-Barruel, C.M. Rickard, M. Cooke, Clinical audits to improve critical care: Part 1 Prepare and collect data, Aust Crit Care, 2017, in press]. In part 2, we discuss how to analyse the collected audit data, benchmark findings with internal and external data sets, and feedback audit results to critical care clinicians to promote evidence-based practice and improve patient outcomes.

7. Conclusion

Clinical audits can be effective tools to promote best practice, reducing errors in the critical care setting,29 but their success relies on several characteristics. Most importantly, it is essential to focus and define the clinical audit goals from the beginning. Next, identify and engage with key opinion leaders and local stakeholders throughout the audit process. Spend time developing the appropriate method and tool for undertaking the clinical audit. Remember, benchmarking and providing goals for improvement will strengthen the audit, but make sure it is the right benchmark for the clinical area. Finally, communicate the results of the audit, including a plan for improvement. Keep going! Auditing is a cyclical process and should be repeated regularly to ensure improvements are effective.