Understanding Audit
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چکیده
Clinical governance provides a framework for accountability and quality improvement. While research is concerned with discovering the right thing to do, audit is concerned with ensuring that the right thing is done. A First class service 2 outlined structures within the National Health Service (NHS) for setting standards: the National Institute of Clinical Excellence (NICE) and the National Service Frameworks (NSF); and monitoring performance: the Commission for Health Improvement (CHI) and the Performance Assessment Framework (PAF). Analogous mechanisms have been established in Scotland. Modifications have been under way in response to the Kennedy report, which recommended bringing together national audit and assessment activity within a single independent organisation, the Commission for Healthcare Audit and Inspection (CHAI) in April 2004. This organisation will provide external audit and quality assurance mechanisms for the NHS.
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