Critical care transfers: using audit to make a difference

Shonfeld, Adam; Riyat, A.; Kotecha, Aditya; Sacks, Michael H.

doi:10.1111/j.1365-2044.2011.06879.x

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Clinical audit is a quality improvement tool that facilitates the evaluation and improvement of care [ 1 , 2 ]. In human medicine, it has become a standard of care required by some national governing bodies [ 3 ] and its implementation has yielded measurable improvements in clinical care [ 4 – 8 ]. Furthermore, the absence of clinical audit has been identified in allowing persistent poor performance, resulting in failures of care [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of clinical audit in companion animal veterinary medicine

Rose¹,

Toews

Pang

2016

BMC Vet Res

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BackgroundClinical audit is a quality improvement process with the goal of continuously improving quality of patient care as assessed by explicit criteria. In human medicine clinical audit has become an integral and required component of the standard of care. In contrast, in veterinary medicine there appear to have been a limited number of clinical audits published, indicating that while clinical audit is recognised, its adoption in veterinary medicine is still in its infancy. A systematic review was designed to report and evaluate the veterinary literature on clinical audit in companion animal species (dog, cat, horse). A systematic search of English and French articles using Proquest Dissertations and Theses database (February 6, 2014), CAB Abstracts (March 21, 2014 and April 4, 2014), Scopus (March 21, 2014), Web of Science Citation index (March 21, 2014) and OVID Medline (March 21, 2014) was performed. Included articles were those either discussing clinical audit (such as review articles and editorials) or reporting parts of, or complete, audit cycles.ResultsThe majority of articles describing clinical audit were reviews. From 89 articles identified, twenty-one articles were included and available for review. Twelve articles were reviews of clinical audit in veterinary medicine, five articles included at least one veterinary clinical audit, one thesis was identified, one report was of a veterinary clinical audit website and two articles reported incomplete clinical audits. There was no indication of an increase in the number of published clinical audits since the first report in 1998. However, there was evidence of article misclassification, with studies fulfilling the criteria of clinical audit not appropriately recognised. Quality of study design and reporting of findings varied considerably, with information missing on key components, including duration of study, changes in practice implemented between audits, development of explicit criteria and appropriate statistical analyses.ConclusionsAvailable evidence suggests the application and reporting of clinical audit in veterinary medicine is sporadic despite the potential to improve patient care, though the true incidence of clinical audit reporting is likely to be underestimated due to incorrect indexing. Reporting standards of clinical audits are highly variable, limiting evaluation, application and repeatability of published work.Electronic supplementary materialThe online version of this article (doi:10.1186/s12917-016-0661-4) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

A systematic review of clinical audit in companion animal veterinary medicine

Rose¹,

Toews

Pang

2016

BMC Vet Res

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“…As a standard of care in human medicine, clinical audit has been successful in generating continued improvements in patient care but its application in veterinary medicine is currently limited (Shonfeld et al . , Patel et al . , Rose et al .…”

Section: Introductionmentioning

confidence: 99%

A clinical audit cycle of post‐operative hypothermia in dogs

Rose¹,

Kwong

Pang

2016

J of Small Animal Practice

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“…Intensive care units have reduced ventilator‐associated pneumonias and central vascular access infections by using rapid‐cycle audit to implement care bundles [7, 8]. It has also been utilised to improve the safe transfer of patients requiring controlled ventilation by improving compliance with guidelines on the use of capnography [9]. Within the theatre environment, the globally implemented WHO safety checklist has led to improvements in patient safety [10].…”

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confidence: 99%