This article explores how health inequalities are constructed as an object for policy intervention by considering four framings: politics, audit, evidence and treatment. A thematic analysis of 197 interviews conducted with local managers in England, Scotland and Wales is used to explore how these framings emerge from local narratives. The three different national policy regimes create contrasti...

The British Thoracic Society (BTS) guidelines for the management of community-acquired pneumonia in children are used as the audit standard for the annual BTS Paediatric Pneumonia Audit. This report examines 3 years of data from this national audit, highlighting trends in clinical practice and the impact of the 2011 revisions to the BTS guidelines. The findings suggest an over-reliance on inves...

A lack of consistency in the management of alcohol withdrawal was identified at the trust. A multidisciplinary working group was set up to review the existing policies, and evaluate the evidence available. A trust-wide policy was introduced and the Clinical Institute Withdrawal from Alcohol score was used to manage alcohol withdrawal. Three main wards were identified for audit and education – e...

Background Surgery is an example of expanded practice scope that enhances podiatry and incorporates inter-professional collaboration. By 2050 demand for foot and ankle procedures is predicted to rise nationally by 61.9%. Performance management of this increase motivated the development of an online audit tool. Developed in collaboration with the Australasian College of Podiatric Surgeons (ACPS)...

OBJECTIVE Translation of evidence into practice by health systems can be slow and incomplete and may disproportionately impact disadvantaged populations. Coronary heart disease is the leading cause of death among Aboriginal Australians. Timely access to effective medical care for acute coronary syndrome substantially improves survival. A quality-of-care audit conducted at a regional Western Aus...

Knowledge Audit (KA) is one of the important tools in management Information Systems, information technology, and Knowledge Management (KM). KA used in the check and evaluation process for knowledge resources in the organization. KA is a best method for monitoring knowledge management on quality milestones such as completeness, effectiveness and accuracy. In one way, a knowledge audit can revea...

OBJECTIVE To determine general practitioners' attitudes to medical audit and to establish what initiatives are already being undertaken; to define future ideas for audit and perceived difficulties in implementing audit in primary care. DESIGN Analysis of responses to a self administered postal questionnaire. SETTING Urban conurbation with a population of about 750,000. PARTICIPANTS 386 ge...

Editorial Audit: time to rethink Doctors carry out 20,000 audit projects each year. This will have cost the NHS £834 million by the end of the century.1 What is the benefit to patients? Most clinicians would immediately reply "very little". The NHS Executive is more guarded in reply, but, tellingly, has commissioned more research on the value of audit. The NHS Audit Initiative was formally laun...

BACKGROUND Large datasets of the audit log of modern physiologic monitoring devices have rarely been used for predictive modeling, capturing unsafe practices, or guiding initiatives on alarm systems safety. OBJECTIVE This paper (1) describes a large clinical dataset using the audit log of the physiologic monitors, (2) discusses benefits and challenges of using the audit log in identifying the...

Audit logs are considered good practice for business systems, and are required by federal regulations for secure systems, drug approval data, medical information disclosure, financial records, and electronic voting. Given the central role of audit logs, it is critical that they are correct and inalterable. It is not sufficient to say, “our data is correct, because we store all interactions in a...