Background:

The clinical audit is an important evaluation tool to ensure quality assurance. A clinical audit requirement for interns during their emergency department (ED) term may be a valuable educational activity.

Methods:

The Emergency Audit Initiative (EAI) Program was initiated at Redcliffe Hospital in January 2018. Interns, who were paired with a staff specialist audit mentor, chose a topic of interest and carried out a clinical audit during their 10-week ED term. At the end of term, interns formally presented audit findings in a grand round setting. Interns and staff specialists were surveyed at the end of the intern year regarding aspects of the program. Surveys aimed to assess: (1) value of the program as an educational activity, (2) availability of time and resources to conduct the audit, and (3) perceived impact on practice.

Results:

During the first year of the program, 27 clinical audits were carried out. 16 interns (59%) and 8 staff specialists (57%) responded to the surveys. Interns and staff specialists reported that the audit was a valuable educational experience (88% and 100%). Interns also reported that they had adequate time (94%) and resources (81%) to conduct the audit. Interns and staff specialists however reported only a modest impact on clinical practice because of the audit program.

Conclusions:

Our experience with the EAI program suggests that incorporating a clinical audit requirement into the ED term is possible. Interns and staff specialists reported it to be a beneficial educational and professional development activity.

中文翻译：

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急诊科实习生临床审核要求的经验

背景：

临床审核是确保质量保证的重要评估工具。实习生在急诊科 (ED) 期间的临床审核要求可能是一项有价值的教育活动。

方法：

紧急审计倡议 (EAI) 计划于 2018 年 1 月在 Redcliffe 医院启动。实习生与员工专家审计导师配对，选择了一个感兴趣的主题，并在 10 周的 ED 任期内进行了临床审计。在学期结束时，实习生在大一轮的环境中正式提出审计结果。实习生和工作人员专家在实习年结束时就该计划的各个方面进行了调查。调查旨在评估：(1) 该计划作为一项教育活动的价值，(2) 进行审计的时间和资源的可用性，以及 (3) 对实践的感知影响。

结果：

在该计划的第一年，进行了 27 次临床审核。16 名实习生 (59%) 和 8 名员工专家 (57%) 对调查做出了回应。实习生和员工专家报告说，审计是一次宝贵的教育经历（88% 和 100%）。实习生还报告说他们有足够的时间 (94%) 和资源 (81%) 来进行审计。然而，实习生和工作人员专家报告说，由于审计计划，对临床实践的影响不大。

结论：

我们对 EAI 计划的经验表明，将临床审核要求纳入 ED 术语是可能的。实习生和工作人员专家报告说，这是一项有益的教育和职业发展活动。