Burnett A C, Winyard G
Department of Health, NHS Executive Headquarters, Leeds, UK.
J Qual Clin Pract. 1998 Mar;18(1):3-19.
Clinical audit is becoming an increasingly sophisticated process now practised by a majority of clinicians. A crucial tool enabling clinicians to improve their care, it involves structured review against agreed standards. Clinical audit is a key component of each of the elements of clinical effectiveness enabling health-care interventions to achieve what is intended in the most beneficial way. A national lead in the development and integration of clinical audit into everyday practice is provided in England, with Department of Health support, by the professional bodies responsible for setting and maintaining clinical standards. The Department of Health recently published a White Paper setting out Government intentions for a greater focus on quality in health. Included in these plans is a National Institute for Clinical Excellence to support and coordinate national clinical guideline and clinical audit development programmes, as well as a greater focus on the quality, effectiveness and outcomes of care.
临床审计如今已成为大多数临床医生所采用的日益复杂的流程。它是临床医生改善医疗服务的关键工具，涉及对照既定标准进行结构化审查。临床审计是临床疗效各要素的关键组成部分，能使医疗干预以最有益的方式达成预期目标。在英国卫生部的支持下，负责制定和维护临床标准的专业机构在临床审计的开发及将其融入日常实践方面发挥了全国引领作用。卫生部最近发布了一份白皮书，阐述了政府加大对医疗质量关注的意图。这些计划包括设立一个国家临床卓越研究所，以支持和协调国家临床指南及临床审计发展项目，同时更加关注医疗服务的质量、效果和结果。
