Central Data Catalog

Citation Information

Type Journal Article - Southern African Journal of Anaesthesia and Analgesia
Title Obstacles faced when conducting a clinical audit in Botswana: special report
Volume 20
Issue 2
Publication (Day/Month/Year) 2014
Page numbers 127-131
URL http://journals.co.za/docserver/fulltext/medsajaa/20/2/medsajaa_v20_n2_a7.pdf?expires=1509521323&id=​id&accname=guest&checksum=F4B3D5D24A44A634CF28601A0672AB69
Background: A clinical audit is a method of addressing the clinical environment to bring about change and improvement.
This paper describes the obstacles encountered while carrying out a clinical audit in a national referral teaching hospital in
Method: A record was kept over a period of three months of reasons for the referral and admission of patients to the
intensive care unit (ICU) and of major obstacles that could not be overcome during a clinical audit. This paper discusses the
obstacles that may be faced in this regard.
Results: The following obstacles were found when carrying out the clinical audit. The medical records were difficult to find,
both in the unit and in the medical records department. This led to abandonment of a retrospective pilot of the audit. When
the medical records were available, the documentation was poor and unsatisfactory for the purposes of the study. Lack of
local criteria and guidelines for ICU admission resulted in inappropriate referrals. Proposed guidelines had still not been
adopted after 10 years. There was a fear by the many departments that refer patients to ICU of being “audited”, which
resulted in reluctance to participate in the audit without assurance from hospital management.
Conclusion: Although the problems that were faced during our audit are not novel to the auditing process, it is important
that they are resolved in order to develop an audit culture.

Related studies

Kediegile, Gaone, and Farai Daniel Madzimbamuto. "Obstacles faced when conducting a clinical audit in Botswana: special report." Southern African Journal of Anaesthesia and Analgesia 20, no. 2 (2014): 127-131.
Powered by NADA 4.0 and DDI