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The clinical audit process seeks to identify areas for service improvement, develop & carry out action plans to rectify or improve service provision and then to re-audit to ensure that these changes have an effect. Clinical audit can be described as a cycle or a spiral, see figure.
A clinical coder—also known as clinical coding officer, diagnostic coder, medical coder, or nosologist—is a health information professional whose main duties are to analyse clinical statements and assign standardized codes using a classification system.
Clinical officer is a professional designation established by the government through the Clinical Officers Council (COC) which has jurisdiction and responsibility for the clinical officer's training, registration and licensing and each officer must (1) study clinical medicine and surgery or clinical medicine and community health for three or ...
The National Clinical Coding Qualification (UK) (NCCQ) is a professional examination for clinical coders working in the United Kingdom. Currently, it is the only clinical coding qualification recognised by the NHS. [1] Having the NCCQ is a requirement of being admitted to the National Clinical Coding Trainer and Auditor Programmes run by NHS ...
Clinical audit is the review of clinical performance, the refining of clinical practice as a result and the measurement of performance against agreed standards – a cyclical process of improving the quality of clinical care. In one form or another, audit has been part of good clinical practice for generations. Whilst audit has been a ...
Internal auditing is an independent, objective assurance and consulting activity designed to add value and improve an organization's operations. It helps an organization accomplish its objectives by bringing a systematic, disciplined approach to evaluate and improve the effectiveness of risk management, control and governance processes. [1]
Clinical Trial/Study Report A written description of a trial/study of any therapeutic, prophylactic, or diagnostic agent conducted in human subjects, in which the clinical and statistical description, presentations, and analyses are fully integrated into a single report. (ICH E6) Clinician A health professional who takes care of patients. (NCI)
A Certified Quality Auditor (CQA) is a professional that knows and employs the standards and principles associated with auditing. A CQA is capable of using various evaluation techniques to identify a production system 's strengths and weaknesses in quality control .