Waine Katie, Dean Rachel S, Hudson Chris, Huxley Jonathan, Brennan Marnie L
Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, College Road, Leicestershire LE12 5RD, UK.
School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, College Road, Leicestershire LE12 5RD, UK.
Vet Sci. 2018 Sep 28;5(4):84. doi: 10.3390/vetsci5040084.
Clinical audit is a quality improvement tool used to assess and improve the clinical services provided to patients. This is the first study to investigate the extent to which clinical audit is understood and utilised in farm animal veterinary practice. A cross-sectional study to collect experiences and attitudes of farm animal veterinary surgeons in the UK towards clinical audit was conducted using an online nationwide survey. The survey revealed that whilst just under three-quarters ( = 237/325; 73%) of responding veterinary surgeons had heard of clinical audit, nearly 50% ( = 148/301) had never been involved in a clinical audit of any species. The participants' knowledge of what a clinical audit was varied substantially, with many respondents reporting not receiving training on clinical audit at the undergraduate or postgraduate level. Respondents that had participated in a clinical audit suggested that protected time away from clinical work was required for the process to be completed successfully. This novel study suggests that clinical audit is undertaken to some extent in farm animal practice and that practitioner perception is that it can bring benefits, but was felt that more resources and support were needed for it to be implemented successfully on a wider scale.
临床审计是一种质量改进工具，用于评估和改进为患者提供的临床服务。这是第一项调查农场动物兽医实践中对临床审计的理解和应用程度的研究。通过一项全国性在线调查，开展了一项横断面研究，以收集英国农场动物兽医外科医生对临床审计的经验和态度。调查显示，虽然近四分之三（237/325；73%）的受访兽医听说过临床审计，但近50%（148/301）的兽医从未参与过任何物种的临床审计。参与者对临床审计的了解差异很大，许多受访者表示在本科或研究生阶段未接受过临床审计培训。参与过临床审计的受访者表示，为了成功完成这一过程，需要有不受临床工作干扰的时间。这项新研究表明，农场动物实践在一定程度上开展了临床审计，从业者认为它能带来益处，但也觉得需要更多资源和支持才能在更广泛的范围内成功实施。
