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Quality of care: a worldwide concern? Quality of care: a worldwide concern?
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Why perform clinical audit in palliative medicine? Why perform clinical audit in palliative medicine?
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What do we mean by quality? What do we mean by quality?
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How do we assess the quality of palliative care? How do we assess the quality of palliative care?
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A rose by any other name would smell as sweet: the evolving terms—audit, quality improvement, governance? A rose by any other name would smell as sweet: the evolving terms—audit, quality improvement, governance?
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Some common distinctions Some common distinctions
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Clinical audit Clinical audit
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Organizational audit Organizational audit
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Quality assurance and total quality management programmes Quality assurance and total quality management programmes
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Clinical governance Clinical governance
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Who carries out clinical audit and what is measured? Who carries out clinical audit and what is measured?
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Applying clinical audit to palliative medicine Applying clinical audit to palliative medicine
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1. Know what we are trying to achieve: goals, standards, and desired outcomes 1. Know what we are trying to achieve: goals, standards, and desired outcomes
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2. Have a way of assessing and re-assessing the quality of care 2. Have a way of assessing and re-assessing the quality of care
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3. Change practice to improve care and/or ensure that any deficiencies are corrected 3. Change practice to improve care and/or ensure that any deficiencies are corrected
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Audit in developing countries Audit in developing countries
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Conclusion Conclusion
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References References
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19.9 Clinical audit in palliative medicine
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Published:March 2015
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Abstract
Audit approaches and methods are now well advanced in palliative care, especially in clinical audit. This chapter discusses these approaches and methods, and addresses such questions as ‘Why perform clinical audit in palliative medicine?’ and ‘How do we assess the quality of palliative care?’ It discusses the evolving terms of audit, quality improvement, and governance, and how to apply clinical audit to palliative medicine. Audit requires resources, and so it must be sure to benefit patients and families, be kept as simple and efficient as possible, and have a strong educational component. There is also a need to develop and test methods of audit in developing countries. If palliative approaches extend backwards to include patients earlier in care, rather than those just near to death, then the audit could become a means for clinical dialogue and education between specialties.
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