Clinical audit has evolved from an early focus on outcome measurement and being medically-centered to now being a collaborative, multidisciplinary process that is an integral part of clinical governance and aims to be patient-centric. Looking to the future, clinical audit seeks to have a well-developed infrastructure, expand beyond just healthcare, and continue ensuring best practices, outcomes, and assurances for patients through the active participation of all involved. Whether clinical audit can achieve this future vision will depend on how the relevant stakeholders choose to support its continued evolution.

1. Future of Clinical Audit
Bachchu Kailash Kaini

2. Clinical Audit: Core Value
• Clinically led initiative
• Quality improvement process
• Examine practices and results against
standards
• Modify the practices where indicated

3. Clinical Audit: Past to Future
Early Stage Present Stage Future
Prior to 1980’s
(Concept Introduced)
1980’s to Present
(Evolution Phase)
Present to Future
(Fit for the Purpose)
Outcome measurement
Widely accepted as QI
process
Collaborative approach
Largely known as
‘Medical Audit’
Evidence based Beyond the Healthcare setting
Medico centric Part of clinical governance Well developed infrastructure
Multi-disciplinary Integral part of health service
Professionally centric Patient centric

4. Impact on Patient
• Best Practice: by enhance
professionalism of care
• Best Outcome: by improved care of
patients
• Best Assurance: by active participation
of all

5. Is It a Bridge Too Far?
It is we to decide!

6. Thank You

7. Thank You