Document Detail


Junior doctors and clinical audit.
MedLine Citation:
PMID:  9409499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess the extent of junior doctor involvement in clinical audit, the degree of support from audit staff, and the perceived value of the resulting audits. DESIGN: Postal survey of National Health Service (NHS) junior doctors. SUBJECTS AND SETTINGS: 704 junior doctors in central Leeds hospitals, June 1996. RESULTS: Questionnaires were returned by 232 respondents (33%), 211 (31%) were completed; 157 respondents (74%) had personally performed audit. Mean (+/- SD) duration since last audit project was 14.9 (14.1) (range 0-84) months. Of the respondents who had personally performed audit, 88 (56%) did not use the hospital audit department, 60 (38%) received no guidance and only 19 (12%) were involved in re-auditing the same project. Mean (+/- SD) time spent per audit project was 27.8 (37.7), (range 2-212) hours. Seventy-five junior doctors (48%) were aware of subsequent change in clinical practice, 41 (26%) perceived a negative personal benefit from audit, 33 (21%) perceived a negative departmental benefit, and 42 (27%) felt that audit was a waste of time. CONCLUSIONS: A large proportion of junior doctors are involved in audit projects that do not conform to established good practice and which have a low impact on clinical behaviour. Although junior doctors feel that there is inadequate assistance and poor supervision whilst performing audit, they still support the principle of audit. There is a need to improve the quality and supervision of audit projects performed by junior doctors.
Authors:
J P Greenwood; S J Lindsay; P D Batin; M B Robinson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal College of Physicians of London     Volume:  31     ISSN:  0035-8819     ISO Abbreviation:  J R Coll Physicians Lond     Publication Date:    1997 Nov-Dec
Date Detail:
Created Date:  1998-01-29     Completed Date:  1998-01-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503108     Medline TA:  J R Coll Physicians Lond     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  648-51     Citation Subset:  IM    
Affiliation:
St James's University Hospital, Leeds.
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel*
Great Britain
Humans
Medical Audit* / methods,  organization & administration
Medical Staff, Hospital*
Questionnaires
State Medicine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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