Periodical application of clinical audit in clinical radiological practice (as a pilot study) showed that:
- clinical audit is a good management tool,
providing an overview of the essential elements of medical care quality,
of the weaknesses of clinical services and the responsibilities of employees;
- there are many benefits when applying clinical audit in radiological practice (increased interdisciplinary communication,
awareness of best practices,
optimization of medical practices by increasing the benefit/risk ratio,
highlighting the need for improvement on procedures and resources);
- for audited breast imaging departments,
the results of clinical audit confirm the good practice applied in accordance with breast screening programs criteria;
- in a blame-free environment,
clinical audit can lead and to an improved and more content situation for patients,
staff and referring physicians;
- clinical audit can be a good tool for continuing education resulting in an environment of continuous development;
- it is important to establish the line between clinical audit and the certification/ accreditation audit and regulatory inspections.
We expect the adoption of the proposed legislative act to have a positive impact on:
- the quality of medical care services and efficient resource utilization
- the state of health of the population and patient satisfaction.
In order to implement clinical audit in medical radiological practices remains necessary to create/establish structures for training and certification of auditors and nationwide clinical audit coordination.
Until then,
National Institute of Public Health will be involved in the development of specific information resources for staff training and useful tools in implementing customized internal clinical audits.
By adopting this draft legislative act on clinical audit in medical radiological practice,
the national legal framework applicable for protection against ionizing radiation will be completed with these requirements,
thus contributing at the transposition of the Directive 59/2013/EURATOM.