Evolution of the medical audit

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Abstract
This historical review of the medical audit with critical appraisal of its status today includes the contributions of organizations and individuals as well as methodology used and traces the development of the audit from the survey of medical education by Flexner (1910) and the "End Result" system by Codman (1912). Quantitative techniques developed during the 1920''s to appraise medical care and the performance of individual hospitals are gradually being replaced by qualitative methods. Today, there is a growing recognition of the need for a methodology that includes practical methods for abstracting and classifying cases, standards by which satisfactory performance could be measured, and criteria that are objective, verifiable, uniform, specific, pertinent, and acceptable. A method of auditing is presented.

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