Clinical audit, guidelines and standards : a productive relation for managing clinical practices

Scarparo, Simona 2011, Clinical audit, guidelines and standards : a productive relation for managing clinical practices, Financial accountability & management, vol. 27, no. 1, pp. 83-101, doi: 10.1111/j.1468-0408.2010.00517.x.

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Title Clinical audit, guidelines and standards : a productive relation for managing clinical practices
Author(s) Scarparo, SimonaORCID iD for Scarparo, Simona
Journal name Financial accountability & management
Volume number 27
Issue number 1
Start page 83
End page 101
Total pages 19
Publisher Wiley
Place of publication London, England
Publication date 2011-02
ISSN 0267-4424
Keyword(s) Scottish Hip Fracture Audit
clinical audit
evidence-based medicine
clinical guidelines
Summary This paper contributes to the knowledge about the process of standardisation within the domain of medicine. Standardisation has become an important form of governance and co-ordination, and there is limited empirical knowledge about its nature and consequences (Brunsson et al., 2000). This paper aims to explore the development, circulation and standardisation process of a specific clinical audit programme: the Scottish Hip Fracture Audit. This audit started as a local initiative and now has developed into a sophisticated arena (Sahlin-Andersson, 2000) which provides Scottish hospitals with monthly ‘real-time reports’ outlining their performance against Scottish government targets. The paper argues that the interrelation between clinical audit and evidence-based medicine (EBM) can become a ‘productive relation’ (Mykhalovskiy, 2003), that opens up spaces of intervention, in which the clinical communities engage with processes of change of clinical procedures, and in these spaces, clinicians and managers are in a position to refine clinical practice and service organisation, to reflect upon their own actions and to allow insight into the rationalities of their work (Berg, 1997).
Language eng
DOI 10.1111/j.1468-0408.2010.00517.x
Field of Research 159999 Commerce, Management, Tourism and Services not elsewhere classified
Socio Economic Objective 970115 Expanding Knowledge in Commerce, Management, Tourism and Services
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2011, Blackwell Publishing
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Document type: Journal Article
Collections: Faculty of Business and Law
Deakin Business School
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