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How can I effectively measure the outcomes of a clinical audit to ensure quality improvement?
Answer
To effectively measure the outcomes of a clinical audit and ensure quality improvement, it is essential to establish clear, measurable standards at the outset and use these as benchmarks for comparison during and after the audit cycle 1. Data collection should be systematic and focus on both process and outcome indicators relevant to the clinical area under review, enabling objective assessment of current practice against agreed standards (Esposito and Dal Canton, 2014). Incorporating patient-reported outcome measures (PROMs) can provide valuable insights into the impact of care from the patient’s perspective, enriching the evaluation of clinical effectiveness and quality (Snowdon et al., 2023). Regular feedback to clinical teams based on audit findings is critical to drive behaviour change and improve professional practice, as audit and feedback mechanisms have been shown to positively influence healthcare outcomes (Ivers et al., 2012). Re-auditing after implementing changes is necessary to confirm that improvements have been achieved and sustained, completing the audit cycle and ensuring continuous quality improvement 1. Combining quantitative data with qualitative insights, such as staff and patient feedback, enhances understanding of barriers and facilitators to change, supporting targeted interventions (Esposito and Dal Canton, 2014; Snowdon et al., 2023). Overall, a robust measurement strategy integrates predefined standards, systematic data collection, patient-centred outcomes, timely feedback, and iterative re-assessment to ensure clinical audits translate into meaningful quality improvements 1; (Ivers et al., 2012); (Esposito and Dal Canton, 2014); (Snowdon et al., 2023).
Key References
- CG158 - Antisocial behaviour and conduct disorders in children and young people: recognition and management
- CG113 - Generalised anxiety disorder and panic disorder in adults: management
- PH49 - Behaviour change: individual approaches
- NG227 - Advocacy services for adults with health and social care needs
- (Ivers et al., 2012): Audit and feedback: effects on professional practice and healthcare outcomes.
- (Esposito and Dal Canton, 2014): Clinical audit, a valuable tool to improve quality of care: General methodology and applications in nephrology.
- (Snowdon et al., 2023): A landscape assessment of the use of patient reported outcome measures in research, quality improvement and clinical care across a healthcare organisation.
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