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April 1990

Surgical Audit

Author Affiliations

Los Angeles, Calif

Arch Surg. 1990;125(4):552. doi:10.1001/archsurg.1990.01410160140029

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The title of this slim monograph belies the content. The authors have much interest and experience in the processes involved in the evaluation of all aspects of health care. The material covered is broad and divided into the audit of structure, process, and outcome. Included under structure are various methods for the organization of health care services, including mechanisms for payment of both hospital and physician services. The audit of process concerns the techniques for the actual provision of health care, including the evolution of increasing emphasis on ambulatory and preventive services. Finally, in the audit of outcome, the need for documentation and evaluation of negative and untoward results is considered. There is also emphasis on the need to evaluate the quality of outcome and patient satisfaction. Additional topics include the ethics of patient care and ethics in research and scientific publications. These subjects are not discussed exclusively with respect

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