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Recently, our department conducted an audit to establish the
proportion of acute medical admissions offered appropriate
thromboprophylaxis and whether a simple intervention could improve uptake.
We looked prospectively at compliance with Government guidelines for acute
medical patients. Control and intervention groups were used. The
intervention was a sticker attached to drug cards reminding clinicians to
prescribe thromboprophylaxis. This audit demonstrated that a simple
intervention increased the number of patients given thromboprophylaxis by
6-fold (12% pre-intervention, 71% post-intervention p<0.0001). We aim
to change regional drug charts to incorporate the intervention on a
permanent basis. Our results show that when conducted effectively, audit
can directly enhance patient safety. The writer has made the case that
audit work may deflect from time spent with patients. We would argue that
Clinical Governance including Audit should be a central pillar of
healthcare delivered by medical professionals.