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Improving the Quality of Neuropsychological Assessment Practice: The Development of a Self-Assessment Audit Tool.
Archives of Clinical Neuropsychology ( IF 2.6 ) Pub Date : 2022-05-16 , DOI: 10.1093/arclin/acab099
Lorraine King 1, 2 , Ruth E Hirst 3, 4 , Abigail Methley 1, 2, 5 , Humma M Javed 2 , Alan R Bowman 6, 7 , Lucy H Stevens 8
Affiliation  

OBJECTIVE Strict competency frameworks exist for training in, and provision of, clinical neuropsychological assessment practice. However, as in all disciplines, daily clinical practice may drift from the gold standard practice without routine monitoring and audit. A simple-to-use, but thorough and evidence-based audit tool has been developed to facilitate the tracking, maintenance, and discussion of best practice over time. METHOD A literature search and liaison with experienced neuropsychology colleagues did not unearth any pre-existing audit standards. Therefore, 39 new standards were generated, which were guided by best practice literature and clinical neuropsychology colleague discussions, to form the proposed self-assessment audit tool. Due to the diverse nature of services, both core and supplementary standards are proposed to enable the audit to be tailored to suit individual services' needs. RESULTS During its development, the tool has so far been trialed in two U.K. National Health Service clinical services in different localities, on three occasions, with a total patient population of N = 78 in order to refine the standards and to generate practice recommendations. CONCLUSIONS This audit tool is presented for services to self-assess their neuropsychological assessment practice. The authors plan to take this work forward with the British Psychological Society's Division of Neuropsychology as a policy document for self-assessment and peer review. Other potential developments include contributing to clinical neuropsychology training tools and refining audit standards for use more widely, such as in pediatric services, or internationally with diverse populations.

中文翻译:

提高神经心理学评估实践的质量:自我评估审计工具的开发。

目标 存在严格的能力框架,用于临床神经心理学评估实践的培训和提供。然而,与所有学科一样,日常临床实践可能会在没有常规监测和审计的情况下偏离黄金标准实践。已开发出一种易于使用但全面且以证据为基础的审计工具,以促进随着时间的推移对最佳实践的跟踪、维护和讨论。方法 文献检索和与有经验的神经心理学同事的联络没有发现任何预先存在的审计标准。因此,在最佳实践文献和临床神经心理学同事讨论的指导下,产生了 39 项新标准,以形成建议的自我评估审计工具。由于服务的多样性,提出了核心标准和补充标准,以使审计能够适应个别服务的需要。结果 在其开发过程中,该工具迄今已在不同地区的两个英国国家卫生服务临床服务中进行了 3 次试验,患者总数为 N = 78,以完善标准并产生实践建议。结论 该审计工具用于服务自我评估其神经心理学评估实践。作者计划与英国心理学会神经心理学部一起推进这项工作,作为自我评估和同行评审的政策文件。其他潜在的发展包括促进临床神经心理学培训工具和改进审计标准以更广泛地使用,
更新日期:2022-01-21
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