Abu-Jeyyab Mohammad, Al-Jafari Mohammad, El Din Moawad Mostafa H, Alrosan Sallam, Al Mse'adeen Mohammad
School of Medicine, Mutah University, Al-Karak, JOR.
Internal Medicine, Al-Bashir Hospital, Amman, JOR.
Cureus. 2024 Feb 23;16(2):e54764. doi: 10.7759/cureus.54764. eCollection 2024 Feb.
Introduction Clinical audits have become essential instruments for evaluating and improving the standard of patient care in healthcare services. While individual clinical audits focus on particular aspects of care, multiple clinical audits across various domains, specialties, or departments provide a more comprehensive understanding of clinical practice and encourage systemic improvements. Methodology This study employed a mixed-methods approach to review and assess various clinical audits and quality improvement initiatives conducted at Al-Karak Governmental Hospital in southern Jordan. The study aimed to identify obstacles and possibilities of conducting clinical audits and provide suggestions for enhancing audit procedures and results. Data were collected from both retrospective and prospective sources and analyzed using descriptive and inferential statistics. Results The study comprised 11 audits conducted in three medical departments, namely surgery, obstetrics and gynecology (OB/GYN), and pediatrics, with a total of 618 participants. The improvements in adherence to guidelines after the second loop of all the audits were significant and showed significant improvements in adherence to guidelines, demonstrating the efficacy of clinical audits in improving clinical practice and outcomes. Conclusions Clinical audits are essential for maintaining and improving quality and safety in healthcare services, particularly in developing nations where emergency obstetric care is lacking. Multiple clinical audits provide a comprehensive understanding of clinical practice and encourage systemic improvements. The findings of our study suggest that clinical audits can lead to significant improvements in adherence to guidelines and better clinical outcomes. Future research should focus on identifying best practices for conducting clinical audits and evaluating their long-term viability and expandability.
引言
临床审计已成为评估和提高医疗服务中患者护理标准的重要工具。虽然个别临床审计关注护理的特定方面，但跨多个领域、专科或部门的多项临床审计能更全面地了解临床实践，并促进系统性改进。
方法
本研究采用混合方法来审查和评估约旦南部卡拉克政府医院开展的各种临床审计和质量改进举措。该研究旨在确定开展临床审计的障碍和可能性，并为加强审计程序及结果提供建议。数据从回顾性和前瞻性来源收集，并使用描述性和推断性统计进行分析。
结果
该研究包括在三个医疗科室（即外科、妇产科和儿科）进行的11项审计，共有618名参与者。所有审计的第二轮之后，在遵循指南方面的改善显著，表明临床审计在改善临床实践和结果方面的有效性。
结论
临床审计对于维持和提高医疗服务的质量和安全性至关重要，特别是在缺乏紧急产科护理的发展中国家。多项临床审计能全面了解临床实践并促进系统性改进。我们的研究结果表明，临床审计可使遵循指南情况得到显著改善，并带来更好的临床结果。未来的研究应侧重于确定开展临床审计的最佳做法，并评估其长期可行性和可扩展性。
