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The NHS Executive expects purchasers and providers to base their agreed patterns of care on evidence of clinical effectiveness. If this approach is to be successful it is necessary to reconcile conflicting published information about effectiveness and local professional opinion. In this study we...
Clinical Audit has reached a crucial point in its development. In this article, we report the results of a multiprofessional consensus conference held to consider the likely direction of Clinical Audit in the future. In a structured exercise, small groups identified four priority areas...
There has been significant investment in NHS research and development aimed at strengthening the knowledge base of decisionmaking. But evidencebased health care is no panacea. What is effective or ineffective is vigorously contested. Nor does evidencebased decisionmaking offer a tidy solution to...
Audit support staff comprise a new profession in the National Health Service. They have a key role in enhancing the work of audit groups in both primary and secondary care. However, arrangements for their formal training have not yet been established. This study describes how a training needs...
The National Centre for Clinical Audit NCCA has worked with a wide range of practitioners and specialist audit staff to develop consensus criteria for good audit. These have recently been distributed as part of an Audit Action Pack. Submissions to the NCCA's audit database are now invited. The...
The Informed Choice Initiative aims to make available to both professionals and users a range of leaflets about topics related to pregnancy and childbirth which are based upon the best available scientific evidence. For each topic covered there are two leaflets one for health care professionals...
What does evidencebased health care add to the numerous initiatives in the UK over the last 10 years to improve the quality, effectiveness and efficiency of health care The health care research and development industry has evolved into a patchwork of activities clinical audit, clinical...
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