AN INTERDISTRICT AUDIT OF VASCULAR SURGERY
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The Inter district Audit of Vascular Surgery project entails the compilation of data on all new vascular patients who are referred, investigated and/or treated in three UK health authorities. The main aim is to create an accurate database containing process/ outcome criteria, which can be interpreted as quality measures and which facilitates review of current practices. Data collection, which began in June 1990 and is scheduled to continue until March 1992, is by a series of proformas. Currently 503 patients are registered on the database, and preliminary results have shown that 28% of initial assessment patients go on to have an arteriogram, 9% are admitted to the hospital immediately and 7% are discharged back to the care of their general practitioner. At follow-up consultation, the patients main presenting symptom had been cured in 38% of cases, but remained unchanged in 27% and had worsened in 5%. The paper concludes by examining the project against some success criteria and recounting some of the practical difficulties of data collection encountered so far.Keywords:
Vascular surgery
With the development of economy,auditing will transit from traditional auditing concentrating on financial auditing to modern auditing,putting emphasis on performance auditing.It not only pays attention to economic benefits,but also to ecological benefits.As the branch of performance auditing,we should also give attention to environment performance auditing.This paper firstly conducts introductions on the contents,objectives and characteristics of performance auditing and environment performance auditing,then analyses the relationship between the two auditings and finally conducts discussions on how to develop environment performance auditing.
Operational auditing
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We investigate the impact of various audit schemes on the future provision of public goods, when contributing less than the average of the group is sanctioned exogenously and the probability of an audit is unknown. We study how individuals update their beliefs about the probability of being audited, both before and after audits are definitely withdrawn. We find that when individuals have initially experienced systematic audits, they decrease both their beliefs and their contributions almost immediately after audits are withdrawn. In contrast, when audits were initially less frequent and more irregular, they maintain high beliefs about the probability of being audited and continue cooperating long after audits have been withdrawn. Inconsistency in experiencing audits across time clearly increases the difficulty of learning the true audit probabilities. Thus, conducting less frequent and irregular audits with higher fines can increase efficiency dramatically.
Public goods game
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Abstract: For a long time, policy evaluation and performance auditing, were quite distinct activities. In several supreme audit institutions in the industrialized world, there now appears to be a growing collaboration between auditors and evaluators. This paper focuses on possible similarities and dissimilarities of both professional activities. It also points at spin-offs from evaluation to auditing and from auditing to evaluation. The paper is based on the few case studies that are available, as well as on personal experiences of the author, both with auditing and evaluation inside the Netherlands.
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Auditing procedure is the summation of working steps of auditing organizations and personnel to reach auditing objective.The best way to settle the contradictions between auditing procedure and tasks is to raise auditing work efficiency and make effective use of audited results,we should learn advanced auditing methods,carry out regular audit,make use of the results of social auditing and interior auditing,carry out computeraided auditing so as to raise auditing efficiency.
Operational auditing
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This paper describes Energy Auditing techniques used throughout the world. Details of references to Energy Auditing discovered during an extensive literature search conducted by the author are recorded, and the usefulness of various descriptions of the detailed practicalities involved in Energy Auditing is discussed. The practical methods used by some professional auditors to audit multi-storey office buildings in New Zealand are described. Conclusions are reached about both the problems encountered in auditing and the prospect for wider application of energy auditing principles and practice in the future.
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Audits play an important role in improving the services to patient care. Our department was involved in carrying out Audits by the trainees on regular basis as suggested by the Royal college and each House officer or the Registrar rotating through was doing an Audit in his/her tenure. Ninteen Audits were done in 3 years in the Pediatric department. We used the criteria suggested for evaluating the quality of Audits and put into the category of full Audits, Partial Audits, Potential Audits and planning Audits. Six of our Audits were full Audits, eleven were partial Audits, two were Potential Audits and none were Planning Audits. We think that as a general trend we had similar shortcomings in quality of our Audits which need to be improved by involving seniors specially in implementing the changes suggested in the Audits otherwise it will not fulfill the Aims and objectives.
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Results of a survey conducted early in 1978, about the state of psychiatric audits in Ontario, are presented and discussed. Of the facilities that responded 66% reported the existence of an audit system for psychiatric care. The picture that evolves from the survey shows that audits are comprehensive in only 52% of Ontario facilities, more so in the provincial psychiatric hospitals than in psychiatric units in general hospitals. The audits are multidisciplinary in 64% of all facilities. While only 50% of facilities involved in audits felt that audits have a positive impact on improvement of psychiatric care, 71% were positive that audits have contributed to continuing staff education. The authors report their experience in introducing a criteria audit system. Factors influencing the selection, as well as advantages and criticisms of this model are discussed.
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