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Journal articles on the topic 'Medical care Medical Audit'

Author: Grafiati

Published: 4 June 2021

Last updated: 5 February 2022

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1

TOMLIN, P. J. "Intensive care-a medical audit." Anaesthesia 33, no. 8 (2007): 710–15. http://dx.doi.org/10.1111/j.1365-2044.1978.tb08466.x.

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2

Glover, Gyles R. "Medical audit and mental health care." Psychiatric Bulletin 14, no. 6 (1990): 326–27. http://dx.doi.org/10.1192/pb.14.6.326.

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The recent prominence of medical audit in psychiatry is due in large measure to the place given to the subject in the government's White Paper Working for Patients (DoH, 1989a). However, medical audit existed before the White Paper and covers a broader scope than the White Paper proposes. Thus in considering the introduction of audit into the mental health services it is important not to allow the White Paper to narrow the field of view.

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Camacho, Luiz Antonio Bastos, and Haya Rahel Rubin. "Reliability of medical audit in quality assessment of medical care." Cadernos de Saúde Pública 12, suppl 2 (1996): S85—S93. http://dx.doi.org/10.1590/s0102-311x1996000600009.

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Medical audit of hospital records has been a major component of quality of care assessment, although physician judgment is known to have low reliability. We estimated interrater agreement of quality assessment in a sample of patients with cardiac conditions admitted to an American teaching hospital. Physician-reviewers used structured review methods designed to improve quality assessment based on judgment. Chance-corrected agreement for the items considered more relevant to process and outcome of care ranged from low to moderate (0.2 to 0.6), depending on the review item and the principal diag

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4

PALMER, R. HEATHER, and J. LEE HARGRAVES. "The Ambulatory Care Medical Audit Demonstration Project." Medical Care 34, Supplement (1996): 12–28. http://dx.doi.org/10.1097/00005650-199609002-00003.

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5

Bener, Abdulbari, Mariam Abdulmalik, Mohammed Al-Kazaz, et al. "Medical Audit of the Quality of Diabetes Care." Journal of Primary Care & Community Health 3, no. 1 (2011): 42–50. http://dx.doi.org/10.1177/2150131911414063.

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Objective: To assess the quality of diabetes care provided to patients attending primary care settings and hospitals in the State of Qatar. Design: Observational cohort study. Setting: The survey was carried out in primary health care centers and hospitals. Subjects and Methods: The study was conducted from January 2010 to August 2010 among diabetic patients attending primary health care centers and hospitals. Among the patients participating, 575 were from hospitals and 1103 from primary health care centers. Face-to-face interviews were conducted using a structured questionnaire including soc

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6

Johnston, S. J. "Standards of care revisited – medical audit in practice." Psychiatric Bulletin 15, no. 5 (1991): 299–300. http://dx.doi.org/10.1192/pb.15.5.299-a.

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7

Crew, Suzanne. "Non-medical prescribing in secondary care: an audit." Nurse Prescribing 8, no. 10 (2010): 498–502. http://dx.doi.org/10.12968/npre.2010.8.10.78880.

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Guryel, E., K. Acton, and S. Patel. "Auditing Orthopaedic Audit." Annals of The Royal College of Surgeons of England 90, no. 8 (2008): 675–78. http://dx.doi.org/10.1308/003588408x318147.

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INTRODUCTION Clinical audit plays an important role in the drive to improve the quality of patient care and thus forms a cornerstone of clinical governance. Assurance that the quality of patient care has improved requires completion of the audit cycle. A considerable sum of money and time has been spent establishing audit activity in the UK. Failure to close the loop undermines the effectiveness of the audit process and wastes resources. PATIENTS AND METHODS We analysed the effectiveness of audit in trauma and orthopaedics at a local hospital by comparing audit projects completed over a 6-year

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Hatton, Paul, and Edward B. Renvoize. "Psychiatric audit." Psychiatric Bulletin 15, no. 9 (1991): 550–51. http://dx.doi.org/10.1192/pb.15.9.550.

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Medical audit has been defined “as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patient” (Department of Health, 1989).

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Earnshaw, Jonothan. "Medical audit gave a falsely reassuring impression of the quality of medical care." Evidence-based Healthcare 2, no. 1 (1998): 18. http://dx.doi.org/10.1016/s1462-9410(05)80018-x.

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11

Fenton, George W., Brian R. Ballinger, C. Barbara Ballinger, and Graham J. Naylor. "Medical audit in a Scottish psychiatric service." Psychiatric Bulletin 14, no. 3 (1990): 136–39. http://dx.doi.org/10.1192/pb.14.3.136.

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Psychiatry is unique in already being subject to statutory external audit through regular visits to psychiatric hospitals and units by the Hospital Advisory Services and Mental Health and Mental Welfare Commissions. These organisations do comment on aspects of the standard and quality of care. Reports of their findings undoubtedly facilitate change. By their programme of repeated visits they are in a position to observe the implementation and outcome of altered patterns of practice brought about by their reports. The Codes of Practice being prepared by the Mental Health Commission (England and

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12

Bhatt, R. V. "Professional responsibility in maternity care: Role of medical audit." International Journal of Gynecology & Obstetrics 30, no. 1 (1989): 47–50. http://dx.doi.org/10.1016/0020-7292(89)90214-2.

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13

Longstreet, Diane A., Marlene M. Griffiths, Deanne Heath, et al. "Improving Diabetes Care in an Urban Aboriginal Medical Centre." Australian Journal of Primary Health 11, no. 3 (2005): 25. http://dx.doi.org/10.1071/py05039.

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The aim of this project was to improve the detection, monitoring, and medical care of Indigenous patients with diabetes in an urban Aboriginal medical centre. The research design and methods entailed the diabetes register being cleaned and updated. A pre- and post-project non-random sample audit of medical records of patients diagnosed with diabetes evaluated the level of care received compared to best practice standard of care. A multi-disciplinary Diabetes Team established procedures to improve the patient care provided. Additional service providers, including a dietitian, podiatrist, ophtha

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14

Scott, Judith A., and Mindy Camden. "Recovery Audit Contractor Medical Necessity Readiness." Professional Case Management 16, no. 5 (2011): 232–37. http://dx.doi.org/10.1097/ncm.0b013e31821ac720.

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&NA;. "Recovery Audit Contractor Medical Necessity Readiness." Professional Case Management 16, no. 5 (2011): 238–39. http://dx.doi.org/10.1097/ncm.0b013e3182285bed.

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16

McCarthy, Paul. "Implementation of a Regional Medical Control Audit System." Prehospital and Disaster Medicine 7, no. 2 (1992): 167–74. http://dx.doi.org/10.1017/s1049023x0003942x.

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The growth and development of emergency medical services (EMS) has been both impressive and extensive since the late 1960s. Since that time, there has been much discussion and debate regarding the level and quality of care that patients receive from the EMS system. In the United States, this has resulted in a wide variety of emergency medical technician (EMT) certification levels that determine which personnel administer an extensive range of medications, procedures, and medical protocols. Because of these differences, the care a patient receives varies not only from state to state but from co

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17

Gődény, Sándor. "Quality assurance and quality improvement in medical practice – Part 3. Clinical audit in medical practice." Orvosi Hetilap 153, no. 5 (2012): 174–83. http://dx.doi.org/10.1556/oh.2012.29293.

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The first two articles in the series were about the definition of quality in healthcare, the quality approach, the importance of quality assurance, the advantages of quality management systems and the basic concepts and necessity of evidence based medicine. In the third article the importance and basic steps of clinical audit are summarised. Clinical audit is an integral part of quality assurance and quality improvement in healthcare, that is the responsibility of any practitioner involved in medical practice. Clinical audit principally measures the clinical practice against clinical guideline

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Aeyels, Daan, Luk Bruyneel, Peter R. Sinnaeve, et al. "Care Pathway Effect on In-Hospital Care for ST-Elevation Myocardial Infarction." Cardiology 140, no. 3 (2018): 163–74. http://dx.doi.org/10.1159/000488932.

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Objectives: To study the care pathway effect on the percentage of patients with ST-elevation myocardial infarction (STEMI) receiving timely coronary reperfusion and the percentage of STEMI patients receiving optimal secondary prevention. Methods: A care pathway was implemented by the Collaborative Model for Achieving Breakthrough Improvement. One pre-intervention and 2 post-intervention audits included all adult STEMI patients admitted within 24 h after onset and eligible for reperfusion. Adjusted (hospital random intercepts and controls for transfer and out-of-office admission) differences i

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19

Garden, Gillian, Femi Oyebode, and Stuart Cumella. "Audit in psychiatry." Psychiatric Bulletin 13, no. 6 (1989): 278–81. http://dx.doi.org/10.1192/pb.13.6.278.

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Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patient (DOH, 1989). The White Paper Working for Patients states that the Government proposes that every consultant should participate in a form of medical audit agreed between management and the profession locally. It also states that management should be able to initiate an independent professional audit.

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Akhtar, S. "Medical Audit of Appendisectomies in Rural Based Tertiary Care Centre." IOSR Journal of Dental and Medical Sciences 9, no. 2 (2013): 78–81. http://dx.doi.org/10.9790/0853-0927881.

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21

Bowley, Douglas M., D. Lamb, P. Rumbold, P. Hunt, J. Kayani, and A. M. Sukhera. "Nursing and medical contribution to Defence Healthcare Engagement: initial experiences of the UK Defence Medical Services." Journal of the Royal Army Medical Corps 165, no. 3 (2018): 143–46. http://dx.doi.org/10.1136/jramc-2017-000875.

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IntroductionThe WHO Constitution enshrines ‘…the highest attainable standard of health as a fundamental right of every human being.’ Strengthening delivery of health services confers benefits to individuals, families and communities, and can improve national and regional stability and security. In attempting to build international healthcare capability, UK Defence Medical Services (DMS) assets can contribute to the development of healthcare within overseas nations in a process that is known as Defence Healthcare Engagement (DHE).MethodsIn the first bespoke DMS DHE tasking, a team of 12 DMS nur

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22

Jones, E. "Audit in psychiatry: “failed discharges”." Psychiatric Bulletin 15, no. 1 (1991): 26–27. http://dx.doi.org/10.1192/pb.15.1.26.

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Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patients (Department of Health, 1989). The medical profession has been under pressure to extend and improve audit procedures in recent years (McKee et al, 1989), but there have been doubts about the most satisfactory methods, particularly in psychiatry (Garden & Oyebode, 1989). There are numerous methodological problems in measuring the outcome of psychosocia

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23

Boros, Erzsébet, István Szél, and Zoltán Dénes. "The role of pharmacotherapeutical audit in the improvement of pharmacotherapy during inpatient rehabilitation care. Experience for the National Institute of Medical Rehabilitation, Hungary." Orvosi Hetilap 153, no. 25 (2012): 997–1002. http://dx.doi.org/10.1556/oh.2012.29368.

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Pharmacotherapy is one of the most important and dangerous area in hospital health care, that explains why innumerable efforts are made worldwide to improve this process and prevent mistakes. Although clinical audit is a well known and widely used method, it is very rarely used for this purpose and scientific papers dealing with this topic can be scarcely found. In the last 20 years different quality management systems were introduced into the Hungarian hospitals, but most of them are not specific for the medical care. The most important element of quality management systems is the internal, p

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24

Pollitt, Christopher. "The Politics of Medical Quality: Auditing Doctors in the UK and the USA." Health Services Management Research 6, no. 1 (1993): 24–34. http://dx.doi.org/10.1177/095148489300600103.

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Following the 1989 white paper Working for patients medical audit has emerged as the principal officially-approved means of assuring the quality of NHS medical care. Beneath the surface consensus, however, significant arguments continue concerning both the purposes and the character of such audit. A ‘medical model’ of medical audit is in competition with a more managerial approach, while consumer interests, however unsuccessfully, are also trying to claim a role. Comparison with the system of peer review in the USA indicates that medical audit in the NHS is likely to be particularly weak with

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25

SHACKFORD, STEVEN R., PEGGY HOLLINGSWORTH-FRIDLUND, MAUREEN MCARDLE, and A. B. EASTMAN. "Assuring Quality in a Trauma System—The Medical Audit Committee." Journal of Trauma: Injury, Infection, and Critical Care 27, no. 8 (1987): 866–75. http://dx.doi.org/10.1097/00005373-198708000-00004.

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26

Heath, D. A. "Clinical audit in hospital." Proceedings of the Royal Society of Edinburgh. Section B. Biological Sciences 101 (1993): 115–21. http://dx.doi.org/10.1017/s0269727000005698.

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SynopsisAudit within general medicine originated from a review of patient clinical records. The main effect of such activities was to lead to an improvement of documentation and a realisation that audit could be performed amicably. Once case note reviews had been established it was usually necessary to progress to specific topic review. Such audits required more input of doctors' time, and to be performed properly needed the support of committed audit staff and limited support from computer technology.The primary aim of medical audit is to improve clinical care. Although an important component

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27

Zimenkovsky, А. B., and T. G. Gutor. "Medical standard as a historical component on the way of clinical audit." Acta Medica Leopoliensia 26, no. 4 (2020): 108–15. http://dx.doi.org/10.25040/aml2020.04.108.

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Aim - the search, analysis and systematization of historical facts concerning the formation and evo-lution of the world medical standartization; severance of its certain long-standing models for the optimization of settling and introduction of the existing, and future analogs, particularly, in the clinical audit format. Material and Methods. In order to study the medical standard as a historical component the fol-lowing methods were used: bibliographic, historical, analytical and methods of systematization and comparison. Results and Discussion. As a result of the conducted research the main h

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Wilamowsky, Yonah, Aliza Rotenstein, and Sheldon Epstein. "Developing Transparent Health Care Reimbursement Auditing Procedures." Journal of Business Case Studies (JBCS) 10, no. 1 (2013): 1–6. http://dx.doi.org/10.19030/jbcs.v10i1.8323.

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The continued computerization of health care records has enabled easier sampling and analysis of large sets of medical records, making it easier than ever for Medicare, Medicaid and other private insurers to use statistical audits to determine and demand return of alleged overpayments to health care providers. However, there are sometimes statistical difficulties with the audits, and there is frequently not sufficient transparency in the procedures or their application to reproduce the results in order to determine whether they have been carried out correctly. This paper addresses concerns in

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29

Murtagh, Alan, Radu Petrovici, Wendy Wong, et al. "Improving monitoring for metabolic syndrome using audit." Irish Journal of Psychological Medicine 28, no. 3 (2011): i—iv. http://dx.doi.org/10.1017/s079096670001226x.

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Audit has been defined as “a quality improvement process that seeks to improve patient care and outcome, through systematic review of care and comparison with explicit criteria, followed by the implementation of change”. As of May 2011, under the Medical Practitioners Act 2007, doctors are legally obliged to join in professional competence schemes, following requirements set by the Medical Council. These include the obligation for doctors to conduct one clinical audit per year. In Ireland and elsewhere, audit provides an opportunity for services to create an “environment in which clinical care

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Linnarsson, Rolf. "Medical audit based on computer-stored patient records exemplified with an audit of hypertension care." Scandinavian Journal of Primary Health Care 11, no. 1 (1993): 74–80. http://dx.doi.org/10.3109/02813439308994906.

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31

Dutta, A., R. R. Parker, and T. W. Fleet. "Audit in two acute psychiatric units." Psychiatric Bulletin 15, no. 6 (1991): 351–52. http://dx.doi.org/10.1192/pb.15.6.351.

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The Royal College of Psychiatrists (1989) has recently produced its own preliminary report on medical audit. It defines medical audit as: “The systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patients.” This definition is in essence similar to that of the Royal College of Physicians.

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32

Lindström, Kjell, Anders Hagman, and Calle Bengtsson. "Medical audit used for estimation of optimum level of outpatient care." Scandinavian Journal of Primary Health Care 13, no. 3 (1995): 175–81. http://dx.doi.org/10.3109/02813439508996758.

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33

Johan, A. "An audit of unplanned extubations in a medical intensive care unit." Critical Care 4, Suppl 1 (2000): P100. http://dx.doi.org/10.1186/cc820.

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34

Goldstone, Leonard A. "The quality of health care and the role of medical audit." Current Orthopaedics 5, no. 4 (1991): 259–66. http://dx.doi.org/10.1016/0268-0890(91)90021-q.

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35

Luke, L. C., S. Cusack, H. Smith, C. E. Robertson, and K. Little. "Non-traumatic chest pain in young adults: a medical audit." Emergency Medicine Journal 7, no. 3 (1990): 183–88. http://dx.doi.org/10.1136/emj.7.3.183.

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36

Camp, A. V. "Acupuncture Audit in Rheumatology." Acupuncture in Medicine 12, no. 1 (1994): 47–51. http://dx.doi.org/10.1136/aim.12.1.47.

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Clinically, audit is the systematic, critical analysis of the quality of medical care. In order to indulge in audit it is necessary initially to identify an area of concern and define standards in that area. If there are none generally accepted in the field to be audited then they must be derived from a statement of the ideal situation, tempered with the expectation of current practice. The advantages of audit are that it encourages education by discussion, can identify the means of improving clinical efficiency and, most importantly, it aims to improve the quality of medical care. Audit is a

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37

Lo, CM, SH Leung, CS Lam, and HH Yau. "Clinical Audit on Short Stay Emergency Medical Admission." Hong Kong Journal of Emergency Medicine 10, no. 1 (2003): 30–36. http://dx.doi.org/10.1177/102490790301000106.

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The growth rate of emergency department visit locally is disproportionate to the population growth. The number of emergency hospital admission has also increased leading to congested ward environment. A retrospective clinical audit on short stay (discharged within 24 hours) emergency medical and geriatric admission was done to look at the appropriateness of our emergency medical and geriatric admission. This study was carried out in April 2000. The Appropriateness Evaluation Protocol was employed as an objective tool for initial assessment. A peer panel, composed of Fellows from the Colleges o

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38

Lasserson, Daniel, Christian Subbe, Timothy Cooksley, and Mark Holland. "SAMBA18 Report – A National Audit of Acute Medical Care in the UK." Acute Medicine Journal 18, no. 2 (2019): 76–87. http://dx.doi.org/10.52964/amja.0755.

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SAMBA18 took place on Thursday 28th June 2018 with follow up data at 7 days. Acute medical teams from 127 Acute Medical Units (AMUs) across the UK collected data relating to operational performance, clinical quality indicators and standards from NHS Improvement. Data was collected from 6114 patients.

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39

Welch, Amanda. "Process Mapping Occupational Therapy Activity within a Medical Admissions Unit." British Journal of Occupational Therapy 65, no. 4 (2002): 158–64. http://dx.doi.org/10.1177/030802260206500402.

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There are increasing demands on professionals within health care to provide a service that meets the needs and expectations of patients. This requires the patient to be placed at the centre of the care pathway. Occupational therapy is well placed to contribute to this change in emphasis because of its fundamental client-centred philosophy. Experience has shown, however, that the realisation of these aims has been a challenge for all health care professionals. Increasingly, the National Health Service is drawing upon expertise from outside and, in particular, the quality improvement tools that

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BUDARIN, S. S. "METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 3, no. 7 (2020): 62–69. http://dx.doi.org/10.36871/ek.up.p.r.2020.07.03.007.

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The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

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Mukhortova, Svetlana A., Tatiana V. Kulichenko, Leyla S. Namazova-Baranova, Svetlana G. Piskunova, Elena A. Besedina, and Dmytrij V. Prometnoy. "Audit of the quality of medical care as a way to improve the efficiency of medical organizations." Pediatric pharmacology 14, no. 4 (2017): 242–47. http://dx.doi.org/10.15690/pf.v14i4.1755.

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Humphrey, C., and D. Berrow. "Promoting audit in primary care: roles and relationships of medical audit advisory groups and their managers." Quality and Safety in Health Care 4, no. 3 (1995): 166–73. http://dx.doi.org/10.1136/qshc.4.3.166.

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Nour A. Sabra, Mohammed. "Cyberthreats on Implantable Medical Devices." Journal of Information Security and Cybercrimes Research 4, no. 1 (2021): 36–42. http://dx.doi.org/10.26735/xvjr7905.

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The significant and rapid technological development in the field of medical care, and Implanted Medical Device, clearly lead to improve the quality of care and effectiveness of treatment for numerous diseases that were previously difficult to be controlled. Technological growth has accompanied by a marked fear of academics and researchers during the past ten years from cyber threats that may lead to breaking the goal of creating these devices. Cyberspace risks and threats would expose many patients who use these devices to health complications and then endanger their lives. The risks and the v

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Shahbaz, Shumaila, and Richard Ward. "QI project: Improvement in quality of Seclusion Medical Review." BJPsych Open 7, S1 (2021): S218—S219. http://dx.doi.org/10.1192/bjo.2021.584.

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AimsTo establish the improvements in the quality of seclusion medical review after introducing a template to complete the review.BackgroundThe Mental Health Act – Code of Practice outlines the standards of patient care while in seclusion. It also emphasis that supportive engagement/observation schedules should be reviewed in person and continued at the point an episode of seclusion was initiated.Furthermore, NICE also set up standards to monitor side effect profile while prescribing psychotropic for such patients and regular management review. It also gives importance to staff training to ensu

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Banik, Debabrata, AK Huda Quamrul, Md Rafayet Ullah Siddique, et al. "Audit of general intensive care unit of Bangabandhu Sheikh Mujib Medical University." Journal of the Bangladesh Society of Anaesthesiologists 22, no. 1 (2014): 12–15. http://dx.doi.org/10.3329/jbsa.v22i1.18095.

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All patients admitted to the Intensive Care Unit of BSMMU between January 2006 and December 2006 on whom data had been entered into the study. A total of 473 admissions with complete records were available. Hospital mortality was 60.6%. Nonsurvivors were older than survivors and had longer ICU stays. Patients admitted from wards had a higher mortality than patients from the operating room/ recovery or the emergency department. Thirty-four percent of patients were in the ICU for >2 days, and they accounted for nearly 81% of bed occupancy. Early identification of patients at risk, both before

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Scott, Ian A. "Audit‐based measures of overuse of medical care in Australian hospital practice." Internal Medicine Journal 49, no. 7 (2019): 893–904. http://dx.doi.org/10.1111/imj.14346.

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Chung, CH. "Clinical Audit in Emergency Medicine." Hong Kong Journal of Emergency Medicine 10, no. 3 (2003): 181–87. http://dx.doi.org/10.1177/102490790301000308.

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Clinical audit is the review of clinical performance against agreed standards, and the refining of clinical practice as a result – a cyclical process of quality improvement in clinical care. The different steps of the clinical audit cycle are discussed. Publications on clinical audit in connection with Emergency Medicine are scarce in the medical literature. Clinical audit should be made compulsory for all healthcare professionals providing clinical care, and emergency physicians are no exceptions.

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Roy, David. "Setting up district audit meetings in psychiatry." Psychiatric Bulletin 15, no. 7 (1991): 417–18. http://dx.doi.org/10.1192/pb.15.7.417.

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Charles Shaw, in a number of articles and his Hospital Handbook (Shaw, 1989, 1990) has played a key role in outlining the principles of medical audit. He arbitrarily divides the process of medical audit into four phases. The philosophical phase which seems to have been negotiated, is whether the medical profession should be involved; the organisational phase; who should lead the process, and the resources required; the practical phase, what should be audited and the methods used; and the invasive phase, how the general concepts and the details of audit are communicated through publication. He

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Clare, S., and S. Kausar. "Transient Ischaemic Attack Care Pathway." Journal of integrated Care Pathways 11, no. 1 (2007): 11–15. http://dx.doi.org/10.1177/205343450701100102.

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A transient ischaemic attack (TIA) is a common medical encounter, which is often managed suboptimally in the acute phase. A TIA should be treated as a medical emergency as studies have shown that high-risk patients can go on to have a stroke within seven days of a TIA. An audit was completed looking at referrals to the TIA clinic. Results prompted the production of a TIA care pathway, which prompted health-care teams on the appropriate management of these patients.

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Mirkes, Sister Renee. "Needed, an Ethics Audit of Catholic Sterilization Policies." Linacre Quarterly 76, no. 2 (2009): 163–80. http://dx.doi.org/10.1179/002436309803889287.

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The author proposes an ethics audit of Catholic sterilization policies as a way to correct the disparity between the regnant moral directive prohibiting direct sterilization in Catholic health-care facilities and the policy and practice of allowing tubal ligations for “medical” or “therapeutic” purposes. The proposed four-step plan for the ethics audit involves dialogue and collaboration between U.S. bishops who have Catholic health-care facilities in their dioceses and the respective hospitals’ administration, sponsors, and medical staff. First, bishops clarify for Catholic hospital administr

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