R. S. Downie and K. C. Calman
- Published in print:
- 1994
- Published Online:
- September 2009
- ISBN:
- 9780192624086
- eISBN:
- 9780191723728
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192624086.003.0020
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
Quality in the delivery of health care has both a quantitative (measurable) and a qualitative (assessable) aspect. The meeting of targets is only one aspect of quality delivery. Other aspects include ...
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Quality in the delivery of health care has both a quantitative (measurable) and a qualitative (assessable) aspect. The meeting of targets is only one aspect of quality delivery. Other aspects include technical skill and competence; professional standards, including ethical issues, attitudes, behaviour, and communication skills; managerial functions, including the ability to work within resources, teaching, audit, and research.Less
Quality in the delivery of health care has both a quantitative (measurable) and a qualitative (assessable) aspect. The meeting of targets is only one aspect of quality delivery. Other aspects include technical skill and competence; professional standards, including ethical issues, attitudes, behaviour, and communication skills; managerial functions, including the ability to work within resources, teaching, audit, and research.
David Hunter
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0012
- Subject:
- Public Health and Epidemiology, Public Health
A clinical audit can be defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of ...
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A clinical audit can be defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. Clinical audits are central to effective clinical governance as a measure of clinical effectiveness. This chapter discusses the history of clinical audits, components of clinical audit, and the steps in performing an audit project.Less
A clinical audit can be defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. Clinical audits are central to effective clinical governance as a measure of clinical effectiveness. This chapter discusses the history of clinical audits, components of clinical audit, and the steps in performing an audit project.
Monica Shaw
- Published in print:
- 2009
- Published Online:
- February 2010
- ISBN:
- 9780198569008
- eISBN:
- 9780191717499
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198569008.003.08
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter focuses on the evolving and volatile UK National Health Service (NHS) regulatory and governance frameworks, and considers their impact upon healthcare organization and clinical practice. ...
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This chapter focuses on the evolving and volatile UK National Health Service (NHS) regulatory and governance frameworks, and considers their impact upon healthcare organization and clinical practice. It reviews the inquiry culture that has influenced government policies on accountability and transparency in health care delivery, and critically assesses the central place accorded to clinical governance. The rise and function of audit and risk management, and the escalatory relationship between risk and regulation, are explored. The paradox that regulatory failures engender tighter controls which, in turn, generate further regulatory failures, is illustrated by reference to several case studies, including that of the death of ‘Baby Peter’, and its aftermath. The chapter concludes with a consideration of the limitations of regulatory control, highlighting the potential for constant review and reform to exacerbate gaps between policy and practice.Less
This chapter focuses on the evolving and volatile UK National Health Service (NHS) regulatory and governance frameworks, and considers their impact upon healthcare organization and clinical practice. It reviews the inquiry culture that has influenced government policies on accountability and transparency in health care delivery, and critically assesses the central place accorded to clinical governance. The rise and function of audit and risk management, and the escalatory relationship between risk and regulation, are explored. The paradox that regulatory failures engender tighter controls which, in turn, generate further regulatory failures, is illustrated by reference to several case studies, including that of the death of ‘Baby Peter’, and its aftermath. The chapter concludes with a consideration of the limitations of regulatory control, highlighting the potential for constant review and reform to exacerbate gaps between policy and practice.
R. S. Downie and K. C. Calman
- Published in print:
- 1994
- Published Online:
- September 2009
- ISBN:
- 9780192624086
- eISBN:
- 9780191723728
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192624086.003.0018
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
Economics and morality are closely linked since resources going to one patient cannot go to another. Inequalities in health care can therefore arise. There are various economic issues in health care, ...
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Economics and morality are closely linked since resources going to one patient cannot go to another. Inequalities in health care can therefore arise. There are various economic issues in health care, such as measuring outcomes (including the use of QALYs), audit, the private sector versus the public sector, clinical freedom, and public involvement in the allocation of resources.Less
Economics and morality are closely linked since resources going to one patient cannot go to another. Inequalities in health care can therefore arise. There are various economic issues in health care, such as measuring outcomes (including the use of QALYs), audit, the private sector versus the public sector, clinical freedom, and public involvement in the allocation of resources.
R. S. Downie and K. C. Calman
- Published in print:
- 1994
- Published Online:
- September 2009
- ISBN:
- 9780192624086
- eISBN:
- 9780191723728
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192624086.003.0019
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
Research and audit must be distinguished. Some research involves animal experimentation which is controversial. Research often involves clinical trials, and various forms of trial must be ...
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Research and audit must be distinguished. Some research involves animal experimentation which is controversial. Research often involves clinical trials, and various forms of trial must be distinguished. Consent must be given by human subjects involved in research. This chapter discusses the role of ethical committees, and the pressure to publish in order to progress in the profession.Less
Research and audit must be distinguished. Some research involves animal experimentation which is controversial. Research often involves clinical trials, and various forms of trial must be distinguished. Consent must be given by human subjects involved in research. This chapter discusses the role of ethical committees, and the pressure to publish in order to progress in the profession.
