Abstract
Publisher Summary This chapter discusses the essential characteristics of an acceptable patient care evaluation process. Criteria of optimal achievable care, set by the hospital's own medical staff, must be measurable, with emphasis on justification for medical intervention and on patient outcomes. Comparison of actual clinical practices against these predetermined criteria must take place. Results must be analyzed by means of peer review. Clinically valid, acceptable variations must be separated from those that cannot be justified. Action must be taken on variations deemed not justified. Follow-up must occur after an appropriate interval to make sure action has been taken and has resulted in correction of any problems identified. Documented reports of the results of all audit activities must go to the appropriate clinical departments, the medical advisory committee, the chief of the medical staff, and to the hospital's governing body.
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