In 1993 the United Kingdom’s National Health Service (NHS) formally introduced “Clinical Audit” as a quality improvement process. The idea was to improve patient care and outcomes by reviewing (i.e. auditing) current performance of, for example, a department against explicit criteria and implementing changes where necessary. In simple words, the key component of audit is to ensure that what should be done is being done; and if not it provides a framework to enable improvements to be made.


National Health Service Clinical Audit Explicit Criterion Clinical Governance Quality Improvement Process 


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  1. 1.
    National Institute of Health and Clinical Excellence (2002) Principles for best practice in clinical audit. Radcliffe Medical Press (http://www.nelh.nhs.uk/BestPracticeClinicalAudit. pdf)Google Scholar
  2. 2.
    United Bristol NHS Trust (2005) published at: http://www.ubht.nhs.uk/clinicalaudit/Google Scholar
  3. 3.
    Hughes R (2005) Is audit research? The relationship between clinical audit and social research. Int J Health Care Qual Assurance 18:288–299Google Scholar
  4. 4.
    Smith R (1992) Audit and research. BMJ 305:905–906PubMedCrossRefGoogle Scholar
  5. 5.
    Janmohamed F (2006) Student. BMJ 14:20–22Google Scholar
  6. 6.
    Johnston G, Crombie IK, Davies HT et al (2000) Reviewing audit: barriers and facilitating factors for effective clinical audit. Qual Health Care 9:23–36PubMedCrossRefGoogle Scholar
  7. 7.
    Grüne F (2004) Working groups and process analysis in hospitals. In: Lauterbach KW, Schrappe M (eds) Gesundheitsökonomie, Qualitätsmanagement und Evidence-based Medicine: eine systematische Einführung. Schattauer, Stuttgart, pp 388–397Google Scholar
  8. 8.
    Jones T, Cawthorn S (2002) What is clinical audit? Evidence based medicine. Hayward Medical Communications. (http://www.evidence-based-medicine.co.uk/ebmfiles/WhatisClinAudit.pdf)Google Scholar
  9. 9.
    Copeland G and the Clinical Governance Support Team (2005) A practical handbook for clinical audit. NHS, UK (http://www.cgsupport.nhs.uk/downloads/Practical_Clinical_Audit_Handbook_v1_1.pdf)Google Scholar
  10. 10.
    McHugh GA, Thoms GMM (2005) Supervision and responsibility: The Royal College of Anaesthetists National Audit. Br J Anaesth 95:124–129PubMedCrossRefGoogle Scholar
  11. 11.
    Harmer M, Davies KA (1998) The effect of education, assessment and a standardized prescription on postoperative pain management. Anaesthesia 53(5):424–430PubMedCrossRefGoogle Scholar
  12. 12.
    Gallagher GA, McLintock T, Booth MG (2003) Closing the audit loop-prevention of preoperative hypothermia: audit and reaudit of perioperative hypothermia. Eur J Anaesthesiol 20:750–752PubMedCrossRefGoogle Scholar
  13. 13.
    Ursprung R, Gray JE, Edwards WH et al (2005) Real time patient safety audits: improving safety every day. Qual Saf Health Care 14:284–289PubMedCrossRefGoogle Scholar
  14. 14.
    Gnanalingham J, Gnanalingham MG, Gnanalingham KK (2001) An audit of audits: are we completing the cycle? J R Soc Med 94:288–289PubMedGoogle Scholar
  15. 15.
    Jamtvedt G, Young JM, Kristoffersen DT et al (2006) Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database Syst Rev Apr 19;(2):CD000259Google Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • M. Klimek
    • 1
  • F. Grüne
    • 1
  1. 1.Department of AnaesthesiologyErasmus MCRotterdamThe Netherlands

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