Il clinical audit quale strumento di miglioramento della qualità dell’assistenza nel campo delle emergenze sanitarie. Una revisione sistematica della letteratura [Comunicazione orale ID 128]

Translated title of the contribution: [Autom. eng. transl.] Clinical audit as a tool for improving the quality of assistance in the field of health emergencies. A systematic review of the literature [Oral communication ID 128]

Maria Lucia Specchia, Giovanna Elisa Calabro', Gualtiero Ricciardi, Valerio Mogini, Chiara De Waure, V. Zeffiro, M. Favale

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] INTRODUCTION The clinical audit is a tool for improving the quality of care based on systematic review, improvement actions and monitoring over time. The aim of the study was to evaluate the implementation and effectiveness of clinical auditing in health emergencies. METHODS A literature review was carried out, from 2004 to 2015, through an ad hoc search algorithm and consultation of databases (PubMed and CINAHL). The articles were selected by two reviewers independently based on title, abstract and full text. Clinical audits were carried out in the area of emergencies, at primary and secondary care level. Audits focused on training, health professionals' perception or compliance with procedures / protocols, economic data or exclusive mortality analysis were excluded from the review. The following data were extracted from each article: first author and year of publication, study design, country and duration, population, general and specific objectives, indicators used and main results. RESULTS The 62 selected articles (Tab. 1) among the 6164 emerged from the research were carried out mainly in Europe (51.61%) and Oceania (27.42%). 64.51% of the audits were conducted by a multidisciplinary team and 51.61% focused on the processes, 33.87% on the results and 14.52% on both; 88.71% was carried out in the hospital and 11.29% in the area, with various fields of application (eg cardiology and neuroscience); 15% (Fig. 1) were complete audits (evaluation and comparison with standards, improvement actions and monitoring over time). CONCLUSIONS Clinical audit is a valid tool to assess clinical practice (processes and outcomes) and improve quality assistance in emergencies, especially at hospital level. Here, medical records and data flows are available, the teams are more cohesive and assistance is more organized than the primary care.
Translated title of the contribution[Autom. eng. transl.] Clinical audit as a tool for improving the quality of assistance in the field of health emergencies. A systematic review of the literature [Oral communication ID 128]
Original languageItalian
Title of host publicationAtti del 49° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “La Sanità Pubblica guarda al futuro: gli assetti istituzionali e la ricerca al servizio della salute”
Pages14
Number of pages1
Publication statusPublished - 2016
Event49° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “La Sanità Pubblica guarda al futuro: gli assetti istituzionali e la ricerca al servizio della salute” - Stazione Marittima di Napoli
Duration: 16 Nov 201619 Nov 2016

Conference

Conference49° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “La Sanità Pubblica guarda al futuro: gli assetti istituzionali e la ricerca al servizio della salute”
CityStazione Marittima di Napoli
Period16/11/1619/11/16

Keywords

  • Clinical audit
  • Emergenze sanitarie
  • Qualità dell'assistenza

Fingerprint

Dive into the research topics of '[Autom. eng. transl.] Clinical audit as a tool for improving the quality of assistance in the field of health emergencies. A systematic review of the literature [Oral communication ID 128]'. Together they form a unique fingerprint.

Cite this