Learning from mistakes: the use of significant event audit in veterinary practice

摘要

All veterinary professionals should involve themselves in clinical governance. Clinical audit can be used to monitor the quality of care in a practice. Significant event audit is a qualitative form of clinical audit. It starts with a no-blame meetingof the practice team; this looks at what happened, why it happened, what has been learned and what needs to change. The results can be that training needs are identified, protocols are changed or drawn up considering the evidence base, and further auditsmay be planned. Significant event audit is about improving systems, not about blaming individuals.