Clinical audits to improve critical care: Part 1 Prepare and collect data

Ullman, Amanda; Ray‐Barruel, Gillian; Rickard, Claire M; Cooke, Marie

doi:10.1016/j.aucc.2017.04.003

Cited by 14 publications

(17 citation statements)

References 22 publications

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“…35 Clinical audits, when incorporated with feedback and clear action plans for improvement, can lead to modest but important improvements in professional practice, 36,37 potentially improving the quality and safety of care, and consequently, clinical outcomes. 38,39 The only demographic or clinical characteristic associated with interpreter service utilisation in this study was sex, with females more likely to receive an interpreter when required than males. Blay et al also found female patients were more likely to receive an interpreter.…”

Section: Discussionmentioning

confidence: 83%

Factors associated with utilisation of health care interpreting services and the impact on length of stay and cost: A retrospective cohort analysis of audit data

Morris

Lambert

Vellar

et al. 2020

Health Prom J of Aust

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Issue addressed: Utilisation of professional health care interpreting services improves the quality and safety of health care among patients with limited English proficiency. Health care interpreter service utilisation is inconsistent and suboptimal in Australia. Evidence of the impact of interpreter service use on patient outcomes and costs is limited. This study aimed to identify the proportion of hospitalised patients who received a health care interpreter during admission and describe the characteristics and outcomes for those requiring interpreter services. Methods:A retrospective cohort analysis of linked admitted patient data with internal interpreter audit data. This study included all inpatients in a health district-wide clinical audit of interpreter service use conducted between July 2016 and March 2018. The dataset comprised 74 patients (including 79 unique hospital stays and 90 episodes) from eight hospitals in one regional health district in New South Wales, Australia.Results: Interpreting services were utilised at least once for 54.4% (n = 43) of admissions. Females were more likely to receive an interpreter (65.1% vs 47.1%, P = .04).Age, preferred language, hospital, Diagnosis-Related Group partition and comorbidities were not associated with interpreter service utilisation. Differences in length of stay and cost associated with use of interpreter services were not statistically significant after casemix adjustment. Conclusions:Approximately half of those who required an interpreter received one during their hospital stay. Further investigation is needed to establish whether regular clinical audits contributed to this rate of utilisation, which is higher than reported elsewhere in the literature.

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Section: Discussionmentioning

confidence: 83%

Factors associated with utilisation of health care interpreting services and the impact on length of stay and cost: A retrospective cohort analysis of audit data

Morris

Lambert

Vellar

et al. 2020

Health Prom J of Aust

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“…The results of this comparison are then sent to the individual or the group as a feedback. 3,30,31 Even if there have been different attempts to standardize A&F management and processing, [32][33][34] there is still a lot of heterogeneity in literature concerning the correct methodology to collect and analyze data and for the choice of right indicators. The Italian Friuli Venezia Giulia region (FVG) takes part to a national project to evaluate the A&F approach applied to different clinical areas.…”

Section: Discussionmentioning

confidence: 99%

Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care

Licata¹,

Tullio²,

Valent³

2020

Emerg Care J

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The Audit and Feedback process (A&F) is commonly accepted as a good way to improve quality in health care, also in Emergency Departments (ED), where health aspects and pathologies are very different, usually acute and highly complex. Within an Italian Ministry of Health research project called EASY-NET, we conducted a systematic review of literature on A&F in EDs from 2014 to December 2019 to evaluate the impact of this approach in a particular setting where time-dependent indicators are fundamental. We selected 24 articles: 9 about infective pathologies (i.e. antibiotic stewardship), 6 about cardiovascular acute emergencies (i.e. cardiac arrest), 2 about stroke, 3 about laboratory tests, and 4 about other fields (i.e. diabetic ketoacidosis or use of prothrombin complex). Most of articles proposed a multimodal approach: only 7 concerned A&F alone. Despite the wide range on interventions modality and the poor comparability of the considered studies, the results are encouraging and confirm the importance to implement A&F both in emergency and in other clinical settings.

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“…Chambers, Wakley opined that clinical audit involves a cycle of systematic activities starting from problem identification and standard definition, through observation and data recording, comparison of audit results with the standard, implementation of proposed changes, as well as evaluation of the resultant effects of the changes. According to Ullman, Ray‐Barruel, Rickard, Cooke, the introduction of clinical audit in hospitals was found to be associated with a multiplicity of favorable outcomes such as lower rates of needless cesarean section deliveries, higher levels of overall prescription accurateness of antibiotics by general dental practitioners, reduced delays in patient discharge and lower readmission rates, increased professional knowledge and enhanced teamwork, and communication among nursing staff as well as more fast evaluation of unstable health conditions and lower ratios of patient mortality.…”

Section: Literature Reviewmentioning

confidence: 99%

Do corporate governance mechanisms and internal control systems matter in reducing mortality rates?

Afriyie

Kong

Danso

et al. 2019

Health Planning & Management

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Summary Internal controls are critical to guarding an institution against fraud, error, and devastation. They are effective tools for preventing losses and achieving organizational goals. However, internal control mechanisms need to be relevant, because the organization cannot comprehend the effectiveness of the system if they are out‐of‐touch with the operation. Health care control practices are not exceptionally different from what pertains in other industries. The health care organizations require effective corporate governance mechanisms to uphold their operations and performances. These practices assist health care organizations to exhume cynical practices that generate unproductive results and also factors militating against the hospital's goals or objectives. This study revealed that practices such as enhanced Board diligence, Health Professionals on board, financial prudence, and effective communication have the tendency of reducing mortality, if well executed.

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Clinical audits to improve critical care: Part 1 Prepare and collect data

Cited by 14 publications

References 22 publications

Factors associated with utilisation of health care interpreting services and the impact on length of stay and cost: A retrospective cohort analysis of audit data

Factors associated with utilisation of health care interpreting services and the impact on length of stay and cost: A retrospective cohort analysis of audit data

Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care

Do corporate governance mechanisms and internal control systems matter in reducing mortality rates?

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