First instance medical audits performed at Hospital San José Diriamba, Nicaragua

Abstract

The audit of the quality of medical care has two purposes: first, to prevent damage to health and second, to correct inconsistencies in care. The present article is a literature review supported by the scale for quality assessment of narrative review articles (Christopher Baethge, 2019). Six key indicators of this scale have been applied, achieving a score of 9 out of a possible maximum of 12. The general objective is to explore the main results of the first instance audits, carried out in the San José Diriamba hospital in Nicaragua in the last five years; in order to assess compliance with guidelines, standards and protocols for patient care and; simultaneously avoid the occurrence of undesirable events. The main results found: lack of compliance with regulations, inadequate formation of the medical audit subcommittee, poor management of the clinical record, and no description of improvement plans that contribute to overcoming obstacles in the quality of care. The main conclusions are that 82% of the audits are mandatory, 17% of the audits have poorly selected members of the medical audit subcommittee and clinical record, 100% of the audits led to disciplinary proceedings for the resources involved and 7% presented conclusions, recommendations and improvement plans for health care.