title: Setting up clinical audit in Gondar Hospital, Ethiopia.
abstract: OBJECTIVE
  To introduce clinical audit into a referral hospital in Ethiopia, and whether clinical standards can be improved as a result.
  
  
  BACKGROUND
  Clinical audit is a method of checking that patient care is delivered to the highest possible level by health care professionals. Practice is measured against agreed guidelines, and is then adjusted to meet the required standard.
  
  
  METHODS
  Audit was introduced into Gondar University Hospital. All departments took part including Paediatrica, Obstetrics, Medicine, Surgery, Nursing, and the Laboratory. A Lead Clinician was nominated and an audit clerk appointed Hospital staff received training. Topics were chosen according to need, for example: obstructed labour in Obstetrics; management of acute diarrhoea in children; and medical record-keeping.
  
  
  RESULTS
  20 audits have been commenced--7 are completed 11 in progress and 2 are awaiting analysis. Excellent clinical practice has been highlighted such as treatment of common paediatric emergencies and documentation in patient records. Areas for improvement were discovered such as glucose-testing on the children's ward. Adjustments will be made to current practice where indicated by audit results, thus improving patient care. Local guidelines have been written to further ensure adherence to evidence-based clinical care.
  
  
  CONCLUSIONS
  It is possible to set up audit in a busy Ethiopian hospital, and use the results to improve the standard of patient care.
authors.affiliation: Leicester University Hospitals, Infirmary Square, Leicester LE1 5WW, UK.
authors.forename: Elaine
authors.initials: E
authors.lastname: Carter
authors.forename: Sisay
authors.initials: S
authors.lastname: Yifru
authors.forename: Carmel
authors.initials: C
authors.lastname: Archdeacon
authors.forename: Chris
authors.initials: C
authors.lastname: Barbrook
authors.forename: Mistir
authors.initials: M
authors.lastname: Gebremedhin
mesh_terms: D054869:Clinical Audit; D005002:Ethiopia; D006785:Hospitals, University / Q000458:organization & administration; D006801:Humans; D009741:Nursing Staff, Hospital / Q000193:education*; D010346:Patient Care Management; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration*