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Abi Berger BMJ
The first 150 words of the full text of this article appear below.
Every year in the United Kingdom, millions of pounds are
spent on clinical audit, and the results are arguably disappointing.
"Action on clinical audit" is a two year project, funded by the NHS
Executive, with the aim of shedding light on why clinical audit does
not achieve the sort of changes and improvements in patient care that
the audit cycle is expected to produce. Last September, 10 self
selected hospital trusts signed up to the project.1 The
arrival of the NHS white paper, with its call for clinical governance
(trusts must now make strategic decisions based on clinical evidence
and not simply on economic considerations), raises the profile of the
action on clinical audit project even higher, and a second cohort of 12 trusts plans to join the project in late 1998. Each participating trust
has identified a clinician, a manager, and an audit officer, who
together make up a local action team.