Study evaluated criteria-based clinical audit in measuring and improving quality of obstetric care for five life-threatening obstetric complications: obstetric haemorrhage, eclampsia, genital tract infections, obstructed labor and uterine rupture. Clinical management of 65 patients was audited using a 'before (Phase I) and after (Phase II)' audit cycle design using standard criteria. Following ...

Normally, after applying a knowledge audit methodology, the results are presented in a final report including knowledge inventory, knowledge maps, and knowledge flows. After analyzed the inventory, maps and flows, it is possible to identify inefficiencies reflected in duplication of efforts, knowledge gaps, knowledge barriers and knowledge-bottlenecks. All this information is integrated at the ...

BACKGROUND Recently, the frequency of audit inspections of health services for people with intellectual disability (ID) in the UK has increased, from occasional inquiries to a systematic audit of all services. From 2008, a process of continuous audit 'surveillance' of specialist health services is to be introduced. Similar regimes of inspection are in place for social care services. AIM To ex...

BACKGROUND Obstructed labour remains a major cause of maternal morbidity and mortality whose complications can be reduced with improved quality of obstetric care. The objective was to assess whether criteria-based audit improves quality of obstetric care provided to women with obstructed labour in Mulago hospital, Uganda. METHODS Using criteria-based audit, management of obstructed labour was...

In this paper, we describe the implementation of the Audit Control Environment (ACE)[1] system that provides a scalable, auditable platform for ensuring the integrity of digital archival holdings. The core of ACE is a small integrity token issued for each monitored item, which is part of a larger, externally auditable cryptographic system. Two components that describe this system, an Audit Mana...

Top management turnover can be classified into forced turnover and voluntary turnover. Forced CEO turnover may be triggered by poorer operating performance (Helwege et al. 2012) that fails to meet the expectation of corporate board; this pressure of immediate performance improvement may induce the incoming CEO to engage in earnings management (SAS No.99, AICPA 2002), and in turn increase the li...

Clinical Audit (CA) has been recognized as a useful tool for tool for improving service delivery, clinical governance, and the education and performance of the dental team. This study develops the discussion by investigating its use as an educational tool within UK Dental Foundation Training (DFT). The aim was to investigate the views of Foundation Dentists (FDs) and Training Programme Director...

The objective of this study was to audit the initial management of patients with upper limb fractures, and to determine whether the accident and emergency (A&E) management of fractures is improved by using guidelines for treatment and referral. This was achieved by comparing the standard of treatment, as determined by fracture clinic doctors, before and after the introduction of fracture treatm...

objective: to clarify the principles of a safe delivery based on clinical governance criteria, as recommended by the pertinent experts. materials and methods: the current study was part of a qualitative research conducted by content analysis method in 2013 and purposive sampling, performing 24 in-depth interviews based on semi-structured questions and analyzed using thematic content analysis. t...

Some final advice (1) As all good research starts with a clear hypothesis so good audit starts with a clear statement of the problem. (2) If the results of the audit cycle cannot be expressed as a percentage improvement in the problem the audit was probably badly executed. (The most obvious exception is assessment of consultations.) (3) Practice management and the team must be allowed to decide...