BRI Final Report: Annex A: Chapter 18 - Medical and Clinical Audit




Home Page Search Final Report - The Final Report text - Summary - Recommendations - Annexes Interim Report Evidence Inquiry Seminars About the Inquiry Help		Annex A > Chapter 18 - Medical and Clinical Audit << previous \| next >> Chapter 18 - Medical and Clinical Audit Introduction Audit: the national perspective Defining audit The development of definitions The national scene: a brief history of audit Key events Reactions to the Government's proposals Creation of the NHS market The introduction of clinical audit Changes in funding 1994/95 Clinical effectiveness The setting of standards The nature of audit Types of audit The effectiveness of the national audit programme The constraints (if any) placed on confidentiality and/or the assurance of anonymity International comparisons Nursing audit The national context The Dynamic Standard Setting System (DySSSy) Evaluation of the nursing and therapy audit programmes The role of the coroner The coroner Records kept by the Home Office Reports sent to other organisations `Unnatural death' and `death by natural causes' Records kept by the Registrar of Births, Marriages and Deaths, and the Office for National Statistics The South West Region and audit 1988-1990 The Regional Hospital Medical Advisory Committee (RHMAC) The Bristol Clinical Audit Unit Effectiveness of the regional audit programme Audit at district and unit level Introduction 1985-1988 The B&WDHA Performance Assessment Committee The District Audit Committee The approach of the District to audit after April 1991 The control of audit through the `contracting' process Monitoring and review of performance by the District Involvement of the District in nursing audit Reporting of accidents/incidents The BRI and the BRHSC pre-1991 The BRI and the BRHSC after 1991 The involvement of management in audit Devolution of responsibility Views expressed on the devolutionary approach Audit committees Audit co-ordinators and audit assistants Role of the clinical director The shift from medical to clinical audit Collation of audit material by the Audit Committee Summary of annual Audit Committee reports Nursing audit in Bristol Attitudes towards the formal introduction of audit 1990-1993 Views as to the relative responsibility for aspects of audit Audit of infant and neonatal cardiac surgical services: role and responsibility of the District The audit and review of the paediatric cardiac surgical services in Bristol Cardiac surgical audit meetings Audit meetings, paediatric cardiac surgery and paediatric cardiology Clinico-pathological meetings Evening meetings Other meetings << previous \| next >> \| back to top