RT Journal Article
T1 Clinical Audits in Outpatient Clinics for Chronic Obstructive Pulmonary Disease: Methodological Considerations and Workflow.
A1 López-Campos, Jose Luis
A1 Abad Arranz, María
A1 Calero Acuña, Carmen
A1 Romero Valero, Fernando
A1 Ayerbe García, Ruth
A1 Hidalgo Molina, Antonio
A1 Aguilar Pérez-Grovas, Ricardo Ismael
A1 García Gil, Francisco
A1 Casas Maldonado, Francisco
A1 Caballero Ballesteros, Laura
A1 Sánchez Palop, María
A1 Pérez-Tejero, Dolores
A1 Segado, Alejandro
A1 Calvo Bonachera, Jose
A1 Hernández Sierra, Bárbara
A1 Doménech, Adolfo
A1 Arroyo Varela, Macarena
A1 González Vargas, Francisco
A1 Cruz Rueda, Juan Jose
K1 Andalucía
K1 Instituciones de atención ambulatoria
K1 Auditoría clínica
K1 Recolección de datos
K1 Humanos
K1 Enfermedad pulmonar obstructiva crónica
K1 Flujo de trabajo
AB OBJECTIVESPrevious 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.METHODSA 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.CONCLUSIONSThis 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.
PB Public Library of Science
YR 2015
FD 2015-11-06
LK http://hdl.handle.net/10668/2315
UL http://hdl.handle.net/10668/2315
LA en
NO 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
NO Journal Article; Research Support, Non-U.S. Gov't;
DS RISalud
RD Apr 10, 2025