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Title: Clinical Audits in Outpatient Clinics for Chronic Obstructive Pulmonary Disease: Methodological Considerations and Workflow.
Authors: López-Campos, Jose Luis
Abad Arranz, María
Calero Acuña, Carmen
Romero Valero, Fernando
Ayerbe García, Ruth
Hidalgo Molina, Antonio
Aguilar Pérez-Grovas, Ricardo Ismael
García Gil, Francisco
Casas Maldonado, Francisco
Caballero Ballesteros, Laura
Sánchez Palop, María
Pérez-Tejero, Dolores
Segado, Alejandro
Calvo Bonachera, Jose
Hernández Sierra, Bárbara
Doménech, Adolfo
Arroyo Varela, Macarena
González Vargas, Francisco
Cruz Rueda, Juan Jose
metadata.dc.contributor.authoraffiliation: [López-Campos,JL; Abad Arranz,M; Calero Acuña,C] Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/Universidad de Sevilla, Seville, Spain. [López-Campos,JL; Calero Acuña,C] CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain. [Romero Valero,F; Hidalgo Molina,A] Hospital Puerta del Mar, Cádiz, Spain. [Ayerbe García,R; Aguilar Pérez-Grovas,RI] Hospital Juan Ramón Jiménez, Huelva, Spain. [García Gil,F; Caballero Ballesteros,L] Hospital Universitario Reina Sofía, Córdoba, Spain. [Casas Maldonado,F; Sánchez Palop,M] Hospital Universitario San Cecilio, Granada, Spain. [Pérez-Tejero,D; Segado,A] Hospital Infanta Margarita, Cabra, Córdoba, Spain. [Calvo Bonachera,J; Hernández Sierra,B] Hospital Torrecárdenas, Almería, Spain. [Doménech,A; Arroyo Varela,M] 9 Hospital Regional Universitario de Málaga, Spain. [González Vargas,F; Cruz Rueda,JJ] Hospital Universitario Virgen de las Nieves, Granada, Spain.
Keywords: Andalucía;Instituciones de atención ambulatoria;Auditoría clínica;Recolección de datos;Humanos;Enfermedad pulmonar obstructiva crónica;Flujo de trabajo
metadata.dc.subject.mesh: Medical Subject Headings::Health Care::Health Services Administration::Organization and Administration::Management Audit::Benchmarking
Medical Subject Headings::Health Care::Health Services Administration::Quality of Health Care::Quality Assurance, Health Care::Clinical Audit
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internet
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic Obstructive
Medical Subject Headings::Information Science::Information Science::Systems Analysis::Workflow
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Ambulatory Care Facilities
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Check Tags::Female
Issue Date: 6-Nov-2015
Publisher: Public Library of Science
Citation: López-Campos JL, Abad Arranz M, Calero Acuña C, Romero Valero F, Ayerbe García R, Hidalgo Molina A, et al. Clinical Audits in Outpatient Clinics for Chronic Obstructive Pulmonary Disease: Methodological Considerations and Workflow. PLoS ONE. 2015; 10(11):e0141856
Abstract: OBJECTIVES Previous clinical audits for chronic obstructive pulmonary disease (COPD) have provided valuable information on the clinical care delivered to patients admitted to medical wards because of COPD exacerbations. However, clinical audits of COPD in an outpatient setting are scarce and no methodological guidelines are currently available. Based on our previous experience, herein we describe a clinical audit for COPD patients in specialized outpatient clinics with the overall goal of establishing a potential methodological workflow. METHODS A pilot clinical audit of COPD patients referred to respiratory outpatient clinics in the region of Andalusia, Spain (over 8 million inhabitants), was performed. The audit took place between October 2013 and September 2014, and 10 centers (20% of all public hospitals) were invited to participate. Cases with an established diagnosis of COPD based on risk factors, clinical symptoms, and a post-bronchodilator FEV1/FVC ratio of less than 0.70 were deemed eligible. The usefulness of formally scheduled regular follow-up visits was assessed. Two different databases (resources and clinical database) were constructed. Assessments were planned over a year divided by 4 three-month periods, with the goal of determining seasonal-related changes. Exacerbations and survival served as the main endpoints. CONCLUSIONS This paper describes a methodological framework for conducting a clinical audit of COPD patients in an outpatient setting. Results from such audits can guide health information systems development and implementation in real-world settings.
Description: Journal Article; Research Support, Non-U.S. Gov't;
metadata.dc.identifier.doi: 10.1371/journal.pone.0141856
Appears in Collections:Instituto de Investigación Biomédica de Sevilla (IBIS)
SAS - Hospital Infanta Margarita
SAS - Hospital Universitario Juan Ramón Jiménez
SAS - Hospital Universitario Puerta del Mar
SAS - Hospital Universitario Regional de Málaga
SAS - Hospital Universitario Reina Sofía
SAS - Hospital Universitario Torrecárdenas
SAS - Hospital Universitario Virgen de las Nieves
SAS - Hospital Universitario Virgen del Rocío

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