Dudley Group of Hospitals NHS Foundation Trust, Dudley.
Clin Med (Lond). 2010 Feb;10(1):20-5. doi: 10.7861/clinmedicine.10-1-20.
Strengthening clinical audit is crucial for improving the quality of healthcare provision. The West Midlands Rheumatology Service and Training Committee coordinates an innovative programme of regional audits and the experience of rheumatology healthcare professionals involved was surveyed. This was a questionnaire-based study in which respondents rated statements relating to regional audit on Likert scales. Out of 105 staff, 70 replied. There was consensus that results of regional audit have been robust, valid and reliable; regional audits benefit patients and units; provide educational opportunities for specialist registrars (SpRs); and are more efficient than local audit by allowing comparison between units. Opinion was divided about how well informed respondents were and how effective they are at closing the audit loop. Many units reported changes in practice. Regional audit is widely perceived to be a valuable clinical governance tool supporting significant changes to clinical practice, and an excellent training opportunity for SpRs. Recommendations for a successful regional audit scheme are described in this article.
加强临床审核对于提高医疗服务质量至关重要。西米德兰兹风湿病服务和培训委员会协调了一项创新性的区域审核计划，并对参与其中的风湿病医疗保健专业人员的经验进行了调查。这是一项基于问卷调查的研究，受访者根据李克特量表对与区域审核相关的陈述进行评分。在 105 名员工中，有 70 人回复。大家一致认为，区域审核的结果是稳健、有效和可靠的；区域审核使患者和单位受益；为专科住院医师（SpR）提供了教育机会；并且通过允许单位之间的比较，比本地审核更有效率。对于受访者的了解程度以及他们在关闭审核循环方面的有效性，意见存在分歧。许多单位报告了实践中的变化。区域审核被广泛认为是一种有价值的临床治理工具，支持对临床实践进行重大改变，并且是 SpR 的绝佳培训机会。本文描述了成功的区域审核计划的建议。
