Audit in Practice
نویسنده
چکیده
Objective-To determine satisfaction of relatives and general practitioners with care ofpatients during terminal illness and make recommendations on improving terminal care in general practice. Design-Interviews with available relatives of patients who had had terminal illnesses and died in 1987, supplemented by questionnaires; questionnaire survey of general practitioners after review of case notes of all their patients who had died of terminal illnesses in 1987. Setting-One urban general practice. Subjects-34 Relatives of patients with terminal illnesses who died in 1987; five general practitioners from one practice. Results-In six cases relatives were dissatisfied, mainly because of lack of communication; in eight cases doctors were dissatisfied because of communication, poor symptom control, and inadequate care. Implications-There is a need for improved communication between relatives and the health professionals involved in terminal care as well as better advice on services and benefits available to both patients and relatives. Bereavement counselling should be better organised.
منابع مشابه
Audit of Minimally Invasive Hysterectomy Rates: A Canadian Retrospective Cross-Sectional Database Review
Background: Minimally invasive hysterectomy is generally preferable to abdominal hysterectomy. The technicity index (TI) is the proportion of hysterectomies performed by minimally invasive surgery. Many centers globally have started to audit local TI as a quality indicator, but only a handful have published their results to help define international standards of care. <st...
متن کاملDevelopment and Psychometric Evaluation of Nursing Audit Tool
Background: Better healthcare outcomes in health services are obtainable from frequently observing ongoing healthcare activities, gathering data, and assessing outcomes. Objectives: This study aimed to establish the basic principles of nursing care standards and practices in wards, develop a nursing audit tool for periodically monitoring and controlling o...
متن کاملAuditing audits: the method of Oxfordshire Medical Audit Advisory Group.
OBJECTIVES To develop a systematic method for both summative and formative audit of practice audits, and to use the method to review Oxfordshire practice audits and to plan improvement. DESIGN Development of a coding system for the audit cycle subsequently used prospectively to assess audits reported to medical audit advisory group coordinators on practice visits. SETTING All 85 general pra...
متن کاملA survey of audit activity in general practice.
BACKGROUND Since 1991, all general practices have been encouraged to undertake clinical audit. Audit groups report that participation is high, and some local surveys have been undertaken, but no detailed national survey has been reported. AIM To determine audit activities in general practices and the perceptions of general practitioners (GPs) regarding the future of clinical audit in primary ...
متن کاملAspects of audit. 3: Audit in British general practice.
Compared with hospitals, general practice has many handicaps in developing medical audit. This is especially true with regard to defining objectives and outcomes of care. Many methods have been proposed to overcome these problems, and several audit studies that have been published are presented here. Further work should concentrate on evaluating the effectiveness of audit in bringing about chan...
متن کامل